Active NPI
Lawrence Amankwa-Asare
- Pharmacist
- Fredericksburg, VA
National Provider Identifier
1083214977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202209678
- Practice address
- 11 Village Pkwy
Fredericksburg, VA 22406-8207 - Phone
- (540) 752-2618
- Fax
- (540) 752-2724
- NPI assigned
- Oct 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202209678 | VA | Primary |
Addresses
Primary practice location
11 Village Pkwy
Fredericksburg, VA 22406-8207
Mailing address
11 Village Pkwy
Fredericksburg, VA 22406-8207
Phone (540) 752-2618
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | l0a00vc.s04258.us@walmart.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202209678 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Fredericksburg, VA
- NPI 1841423969
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1083214977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 VILLAGE PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224068207",
"telephone_number": "540-752-2618",
"fax_number": "540-752-2724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 VILLAGE PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224068207",
"telephone_number": "540-752-2618",
"fax_number": "540-752-2724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMANKWA-ASARE",
"first_name": "LAWRENCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202209678",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "l0a00vc.s04258.us@walmart.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11 Village Pkwy",
"city": "Fredericksburg",
"state": "VA",
"country_code": "US",
"postal_code": "224068207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.