Abena Amo-Badu

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR46971 Issued in ME

Practice address

302 Route 25a
Miller Place, NY 11764-2413

Phone

(631) 331-3162

Fax

(631) 331-2795

NPI assigned

Nov 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Miller Place, NY
  • NPI 1285072108
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1174037766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HEATHER CT",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422521",
            "telephone_number": "631-860-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642413",
            "telephone_number": "631-331-3162",
            "fax_number": "631-331-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMO-BADU",
        "first_name": "ABENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR46971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Alessi, PHARM.D.
• Melissa Alexander
• Enzo Aliotta, PHD
• Keith Scott Alloy, LMT
• Kathleen Staehs Ambrosino, R.N.
• Angela Ritieni Physical Therapist, P.C.
• Rebecca Anne Arena, FNP-BC
• Beauval Aristide
• Kiersten Arnold, L.P.N.
• Jennifer Emily Atkins

• Pharmacist in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.