Kofi Asafo Boakye, PHARM D
Individual provider Active NPI Pharmacist · Camden, AR
NPI 1306459284 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1306459284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD15092 (AR)
- Practice address
- 424 California Ave SW
Camden, AR 71701-4216 - Phone
- (870) 836-4157
- NPI assigned
- Aug 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PD15092 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD15092 | AR | Yes |
Addresses
Primary practice location
424 California Ave SW
Camden, AR 71701-4216
Mailing address
424 California Ave SW
Camden, AR 71701-4216
Phone (870) 623-7079
Other providers in Camden, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 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.