Provider Demographics
NPI:1891856803
Name:OKAI, PHILIP EFFAH (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:EFFAH
Last Name:OKAI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:898 OLDBRIDGE TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816
Mailing Address - Country:US
Mailing Address - Phone:732-257-8348
Mailing Address - Fax:
Practice Address - Street 1:330 STATE ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4119
Practice Address - Country:US
Practice Address - Phone:732-293-0300
Practice Address - Fax:732-293-0029
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02176800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0038628Medicaid
NJ3146126OtherNCPDP#
NJ0038628Medicaid