Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1356024517 Deactivated / Inactive NPI Male Practitioner

Osahon Amayo

Pharmacist • Newark, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Osahon Amayo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 14, 2023
NPI Deactivation Date October 09, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Osahon Amayo was a registered Pharmacist practicing in Newark, NJ. Throughout an active medical career spanning 2 years, Osahon Amayo provided care at the practice location at 250 MOUNT VERNON PLACE, APARTMENT 1J until profile deactivation on 2025-10-09.

Practice Location & Contact Primary Location

Practice Address

250 Mount Vernon Place, Apartment 1j

Newark, NJ 07106

Telephone 3474590613
Associated Practice Facility / Clinic
🏢 Mankind Care Llc Facility NPI 1770459273

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
171 Specialists

Practicing in Newark, NJ (8390 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: 2026-04-07
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NJ 28RI04479800

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.

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location April 07, 2026

Registered at 250 MOUNT VERNON PLACE, APARTMENT 1J, NEWARK, NJ 07106 (Tel: 3474590613)

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Updated Business Mailing Address April 07, 2026

Registered at 250 MOUNT VERNON PLACE, APARTMENT 1J, NEWARK, NJ 07106 (Tel: 3474590613)

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Provider Name / Credentials Updated April 07, 2026

Recorded as OSAHON AMAYO

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2026

Pharmacist (License #28RI04479800 in NJ)

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NPI Profile Deactivated October 09, 2025

Record deactivated on October 09, 2025

NPI Profile Active August 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2023

Registered at 250 MOUNT VERNON PLACE, APARTMENT 1J, NEWARK, NJ 07106 (Tel: 3474590613)

📍
Updated Business Mailing Address August 14, 2023

Registered at 250 MOUNT VERNON PLACE, APARTMENT 1J, NEWARK, NJ 07106 (Tel: 3474590613)

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Provider Name / Credentials Updated August 14, 2023

Recorded as OSAHON AMAYO

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2023

Day Training/Habilitation Specialist (License #251C00000X in NJ)

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Initial NPI Registration & Enumeration August 14, 2023

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: 1356024517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2023
Last Update: April 07, 2026
Deactivation Date: October 09, 2025
Sole Proprietor: Yes

Mailing Address

250 Mount Vernon Place, Apartment 1j

Newark, NJ 07106

Phone: 3474590613

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.