Kwesi Agyare
Individual provider Active NPI Pharmacist · Wayne, WV
NPI 1093178998 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1093178998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP0009301 (WV)
- Practice address
- 10295 WV-152
Wayne, WV 25570 - Phone
- (202) 716-8150
- NPI assigned
- Mar 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0009301 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0009301 | WV | Yes |
Addresses
Primary practice location
10295 WV-152
Wayne, WV 25570
Mailing address
10295 WV-152
Wayne, WV 25570
Phone (202) 716-8150
Other providers in Wayne, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.