Individual provider Active NPI

Akosua Adu Addai, PHARMD

  • Pharmacist
  • Houston, TX
National Provider Identifier
1104417583
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57648 Issued in TX
Practice address
17115 Red Oak Dr Ste 105
Houston, TX 77090-2607
Phone
(346) 323-6161
Fax
(346) 323-6171
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 57648 TX Primary

Addresses

Primary practice location

17115 Red Oak Dr Ste 105
Houston, TX 77090-2607

Mailing address

17115 Red Oak Dr Ste 105
Houston, TX 77090-2607
Phone (346) 323-6161

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
57648TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Health Express Pharmaceutical Services LLC Current Accepting new patients
Calvary Pharmaceutical Services LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

17115 Red Oak Dr
Ste 105
Houston, TX 77090
Phone (346) 323-6161

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.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1104417583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "346-323-6161",
            "fax_number": "346-323-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "346-323-6161",
            "fax_number": "346-323-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU ADDAI",
        "first_name": "AKOSUA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "57648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.