Individual provider Active NPI

Richmond G Nimako-Boateng, PHARM.D, RPH

  • Pharmacotherapy Pharmacist
  • Aurora, IL
National Provider Identifier
1306145875
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
051287405 Issued in IL
Practice address
1677 Montgomery Rd
Suite 110-112
Aurora, IL 60504-8802
Phone
(630) 236-9502
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051287405 IL
Pharmacotherapy Pharmacist 1835P1200X 051287405 IL Primary

Addresses

Primary practice location

1677 Montgomery Rd
Suite 110-112
Aurora, IL 60504-8802

Mailing address

PO Box 4863
Naperville, IL 60567-4863
Phone (630) 236-9502

Other names 1

  • Dr. Richmond G Nimako Other name

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051287405ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsway ENT. Inc Current Accepting new patients
Queensway ENT. Inc. Past Accepting new patients

Locations

1677 Montgomery Rd
Ste 110112
Aurora, IL 60504
Phone (630) 236-9502

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1306145875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4863",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605674863",
            "telephone_number": "630-236-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 MONTGOMERY RD",
            "address_2": "SUITE 110-112",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048802",
            "telephone_number": "630-236-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMAKO-BOATENG",
        "first_name": "RICHMOND",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHARM.D, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051287405",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IL",
            "license": "051287405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHMOND",
            "last_name": "NIMAKO",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "PHARM.D, RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.