Healthcare Provider Details

I. General information

NPI: 1699476846
Provider Name (Legal Business Name): ANULI CHIOMA OKOYE-OYIBO RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 GREENWICH ST STE LI207
NEW YORK NY
10007-2383
US

IV. Provider business mailing address

597 RUTLAND RD # 2
BROOKLYN NY
11203-1703
US

V. Phone/Fax

Practice location:
  • Phone: 646-822-4717
  • Fax:
Mailing address:
  • Phone: 347-683-0716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20-099933
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: