Individual provider Active NPI

Kwaku Owusu Mensa, PHARM

  • Pharmacist
  • Commerce City, CO
National Provider Identifier
1194551325
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0024941 Issued in CO
Practice address
5990 Dahlia St
Commerce City, CO 80022-3708
Phone
(303) 287-0909
NPI assigned
Sep 12, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0024941 CO Primary

Addresses

Primary practice location

5990 Dahlia St
Commerce City, CO 80022-3708

Mailing address

7705 S Winnipeg St Apt 710
Aurora, CO 80016-7479
Phone (720) 936-1934

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
0024941COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1194551325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 S WINNIPEG ST APT 710",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800167479",
            "telephone_number": "720-936-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 DAHLIA ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223708",
            "telephone_number": "303-287-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSA",
        "first_name": "KWAKU",
        "middle_name": "OWUSU",
        "credential": "PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0024941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.