Provider Demographics
NPI:1639342975
Name:OKEKE, CHINELO JOY ((RPH))
Entity Type:Individual
Prefix:
First Name:CHINELO
Middle Name:JOY
Last Name:OKEKE
Suffix:
Gender:F
Credentials:(RPH)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4733 WESTLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:ARBUTUS
Mailing Address - State:MD
Mailing Address - Zip Code:21227-1351
Mailing Address - Country:US
Mailing Address - Phone:410-247-2614
Mailing Address - Fax:410-247-8571
Practice Address - Street 1:4733 WESTLAND BLVD
Practice Address - Street 2:
Practice Address - City:ARBUTUS
Practice Address - State:MD
Practice Address - Zip Code:21227-1351
Practice Address - Country:US
Practice Address - Phone:410-247-2614
Practice Address - Fax:410-247-8571
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14725183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist