Samuel Gyawu-Amoateng, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61452011 Issued in WA

Practice address

4033 Talbot Rd S
Renton, WA 98055-5772

Phone

(425) 690-3533

Fax

(425) 690-9147

NPI assigned

Mar 20, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Samual Anto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Procare LTC Pharmacy of Connecticut LLC

  • Long Term Care Pharmacy
  • Cheshire, CT
  • NPI 1174807002
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1043714660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S # RS",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555772",
            "telephone_number": "425-690-3533",
            "fax_number": "425-690-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555772",
            "telephone_number": "425-690-3533",
            "fax_number": "425-690-9147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Jefferson Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701212448",
            "country_code": "US",
            "telephone_number": "048-427-4395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065141363",
            "country_code": "US",
            "telephone_number": "844-881-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GYAWU-AMOATENG",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT0014346",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61452011",
            "primary": true
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "LA",
            "license": "PST.024337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUAL",
            "last_name": "ANTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristian Gordon Gursli, LMHCA
• Araceli Gutierrez, RD CD
• Cecilia Aexandra Gutierrez
• Seriana Gutierrez, MSW
• Jacqueline Michelle Guyette, PT/DPT
• H T Tran
• Alexandra Shih Haddad
• Lauren Haegele, DPT
• Marja Lia Nerini Haflinger, DO
• Adrian Hagan, PA-C

• Pharmacist in Renton, WA
• Providers in Renton, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.