Active NPI
Charles Kwame Mawuli Mensah
- Pharmacist
- Frederick, MD
National Provider Identifier
1104426576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19386
- Practice address
- 7400 Guilford Dr
Frederick, MD 21704-5183 - Phone
- (247) 556-4658
- NPI assigned
- Oct 27, 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 | 19386 | MD | Primary |
Addresses
Primary practice location
7400 Guilford Dr
Frederick, MD 21704-5183
Mailing address
3001 Veazey Ter NW Apt 829
Washington, DC 20008-5415
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 |
|---|---|---|---|
| 19386 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1104426576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 VEAZEY TER NW APT 829",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200085415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 GUILFORD DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217045183",
"telephone_number": "247-556-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENSAH",
"first_name": "CHARLES",
"middle_name": "KWAME MAWULI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
- Isabelle Violet Menges, COTA/L
- Krysten Nichole Menks, PT, DPT
- Elaine Marie Mennito, CRNP
- Menocal Medical Services PA
- Julio J Menocal, MD
- Thomas Mensah, RN
- Mental Health Assoc of Frederick Cty
- Mental Health Assoc of Frederick Cty
- Mental Health Assoc of Frederick Cty
- Mental Health Assoc of Frederick Cty
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.