Active NPI
Frederick Asamoah Sr., RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Temple Hills, MD
National Provider Identifier
1174966220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 11938
- Practice address
- 6104 Old Branch Ave
Temple Hills, MD 20748-2518 - Phone
- (301) 702-6133
- NPI assigned
- Apr 8, 2013
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 11938 | MD | Primary |
Addresses
Primary practice location
6104 Old Branch Ave
Temple Hills, MD 20748-2518
Mailing address
1022 Kings Tree Dr
Bowie, MD 20721-1917
Phone (301) 249-7554
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11938 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1174966220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 KINGS TREE DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207211917",
"telephone_number": "301-249-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6104 OLD BRANCH AVE",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207482518",
"telephone_number": "301-702-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASAMOAH",
"first_name": "FREDERICK",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-08",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "11938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.