Active NPI
Kenneth Mensah
- Pharmacist
- Swainsboro, GA
National Provider Identifier
1316667173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033385
- Practice address
- 117 Kite Rd
Swainsboro, GA 30401-3231 - Phone
- (478) 289-1302
- NPI assigned
- Aug 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH033385 | GA | Primary |
Addresses
Primary practice location
117 Kite Rd
Swainsboro, GA 30401-3231
Mailing address
203B Preston LN
Dublin, GA 31021-2779
Phone (678) 558-3149
Other practice location 1
1100 Hillcrest Pkwy Ste A
Dublin, GA 31021-4373
Phone (478) 277-3085
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033385 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1316667173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203B PRESTON LN",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212779",
"telephone_number": "678-558-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 KITE RD",
"city": "SWAINSBORO",
"state": "GA",
"postal_code": "304013231",
"telephone_number": "478-289-1302"
}
],
"practiceLocations": [
{
"address_1": "1100 Hillcrest Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "GA",
"postal_code": "310214373",
"country_code": "US",
"telephone_number": "478-277-3085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENSAH",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swainsboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.