Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639774631 Individual Practitioner Female Practitioner

Idia V. Okpebholo

Pharmacist • Stockbridge, GA

Professional Overview & Biography Verified Profile Summary

Idia Okpebholo is a registered healthcare professional specializing in Pharmacist in Stockbridge, GA. Practice services are available at 5095 MOUNT ZION PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5095 Mount Zion Pkwy

Stockbridge, GA 302817825

Telephone 7704613431
Associated Practice Facility / Clinic
🏢 Georgia Cvs Pharmacy, L.l.c. Facility NPI 1942304886

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Stockbridge, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
63 Specialists

Practicing in Stockbridge, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH030685

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Secondary Practice Locations

5095 Mount Zion Pkwy

Stockbridge, GA 302817825

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1194320341

Doctor of Pharmacy (Pharm.D.)

Alyssa Hemani

Pharmacist

NPI 1811592694

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2020

Registered at 5095 MOUNT ZION PKWY, STOCKBRIDGE, GA 302817825 (Tel: 7704613431)

📍
Updated Business Mailing Address November 30, 2020

Registered at 5095 MOUNT ZION PKWY, STOCKBRIDGE, GA 302817825

👤
Provider Name / Credentials Updated November 30, 2020

Recorded as IDIA OKPEBHOLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2020

Pharmacist (License #RPH030685 in GA)

🟢
Initial NPI Registration & Enumeration November 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639774631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2020
Last Update: November 30, 2020
Sole Proprietor: Yes

Mailing Address

5095 Mount Zion Pkwy

Stockbridge, GA 302817825

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.