Healthcare Provider Details

I. General information

NPI: 1134035827
Provider Name (Legal Business Name): OGBONNA AKWANI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13155 W CENTER RD
OMAHA NE
68144-3740
US

IV. Provider business mailing address

13155 W CENTER RD
OMAHA NE
68144-3740
US

V. Phone/Fax

Practice location:
  • Phone: 402-334-9134
  • Fax: 402-334-5537
Mailing address:
  • Phone: 402-334-9134
  • Fax: 402-334-5537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10665
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: