Active NPI
Paa Kwesi Yanful, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Dallas, TX
National Provider Identifier
1205382009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 63434
- Practice address
- 122 W Colorado Blvd FL 3
Dallas, TX 75208-2382 - Phone
- (214) 947-6727
- Fax
- (214) 947-6744
- NPI assigned
- Aug 31, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | PST.021712 | LA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 63434 | TX | Primary |
Addresses
Primary practice location
122 W Colorado Blvd FL 3
Dallas, TX 75208-2382
Mailing address
122 W Colorado Blvd FL 3
Dallas, TX 75208-2382
Phone (214) 947-6780
Other practice location 1
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-6727
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63434 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| PST.021712 | LA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1205382009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W COLORADO BLVD FL 3",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082382",
"telephone_number": "214-947-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W COLORADO BLVD FL 3",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082382",
"telephone_number": "214-947-6727",
"fax_number": "214-947-6744"
}
],
"practiceLocations": [
{
"address_1": "1441 N Beckley Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752031201",
"country_code": "US",
"telephone_number": "214-947-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANFUL",
"first_name": "PAA KWESI",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "LA",
"license": "PST.021712",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "63434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.