Provider Demographics
NPI:1285238212
Name:OKONKWO, ONYINYE N (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ONYINYE
Middle Name:N
Last Name:OKONKWO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9714 WALNUT WOODS DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64139-1342
Mailing Address - Country:US
Mailing Address - Phone:816-600-5390
Mailing Address - Fax:
Practice Address - Street 1:5901 INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64125-1616
Practice Address - Country:US
Practice Address - Phone:816-231-2033
Practice Address - Fax:816-231-2440
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO17109211843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy