Individual provider Active NPI

Akosua Acheampong, PHARMD

  • Pharmacist
  • Cartersville, GA
National Provider Identifier
1184199028
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
031868 Issued in GA
Practice address
13 N Tennessee St
Cartersville, GA 30120-3339
Phone
(770) 386-2417
NPI assigned
Oct 8, 2018
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23740 MD
Pharmacist 183500000X 031868 GA Primary

Addresses

Primary practice location

13 N Tennessee St
Cartersville, GA 30120-3339

Mailing address

13 N Tennessee St
Cartersville, GA 30120-3339
Phone (770) 386-2417

Other practice location 1

12430 Goa Pl
Woodbridge, VA 22192-6724
Phone (033) 216-5627

Other practice location 2

5870 Silver Hill Rd
District Heights, MD 20747-1103
Phone (301) 736-3994

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
031868GAMDPharmacist
23740MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Pharmacy LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1184199028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 N TENNESSEE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203339",
            "telephone_number": "770-386-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N TENNESSEE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203339",
            "telephone_number": "770-386-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12430 Goa Pl",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221926724",
            "country_code": "US",
            "telephone_number": "033-216-5627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5870 Silver Hill Rd",
            "address_purpose": "LOCATION",
            "city": "District Heights",
            "state": "MD",
            "postal_code": "207471103",
            "country_code": "US",
            "telephone_number": "301-736-3994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHEAMPONG",
        "first_name": "AKOSUA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23740",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "031868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.