Provider Demographics
NPI:1972250603
Name:AKAEME, OSITADINMA (PHARMD)
Entity type:Individual
Prefix:
First Name:OSITADINMA
Middle Name:
Last Name:AKAEME
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 N OVERBROOK AVE # 1
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-5406
Mailing Address - Country:US
Mailing Address - Phone:240-703-6426
Mailing Address - Fax:
Practice Address - Street 1:3218 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-6213
Practice Address - Country:US
Practice Address - Phone:609-340-8308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI0433600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist