Kelvin Nana Bonsu Amagyei, PH240580

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH240580 Issued in MA

Practice address

107 Main St
Greenfield, MA 01301-3209

Phone

(413) 774-2201

Fax

(413) 774-6254

NPI assigned

Dec 9, 2021

Sex

Male

Sole proprietor

No

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.

• Maxi Drug Inc

  • Community/Retail Pharmacy
  • New Bedford, MA
  • NPI 1740389022
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2021.

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1093474892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013209",
            "telephone_number": "413-774-2201",
            "fax_number": "413-774-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013209",
            "telephone_number": "413-774-2201",
            "fax_number": "413-774-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAGYEI",
        "first_name": "KELVIN",
        "middle_name": "NANA BONSU",
        "name_prefix": "Dr.",
        "credential": "PH240580",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH240580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare Elizabeth Allen
• Mark Harold Allen, M.D.
• Mulham Allujami
• Emily E. Almeida, RN IBCLC
• Rawaa Alnabulsi, MD
• American Current Care of Massachusetts PC
• Norie Amet
• Thampi K Ampadi, MD
• Louise G. Amyot, RD, LD
• John H Anderson Jr., ED.D.

• All providers in Greenfield, MA
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.