Akosua Acheampong, PHARMD
Individual provider Active NPI Pharmacist · Cartersville, GA
NPI 1184199028 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1184199028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 031868 (GA)
- Practice address
- 13 N Tennessee St
Cartersville, GA 30120-3339 - Phone
- (770) 386-2417
- NPI assigned
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031868 | GA | MD | Pharmacist |
| 23740 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Pharmacy LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23740 | MD | |
| Pharmacist | 183500000X | 031868 | GA | Yes |
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
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.