Individual provider Active NPI

Kwabena Boakye, RPH

  • Pharmacist
  • Fitchburg, MA
National Provider Identifier
1316698442
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH240016 Issued in MA
Practice address
57 Rollstone Rd
Fitchburg, MA 01420-5350
Phone
(978) 342-8740
NPI assigned
Jan 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH240016 MA Primary

Addresses

Primary practice location

57 Rollstone Rd
Fitchburg, MA 01420-5350

Mailing address

1300 Worcester Rd Apt P107
Framingham, MA 01702-8925
Phone (774) 946-5581

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH240016MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Azona Services LLC Current Accepting new patients

Organizations & group practices 1

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1316698442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WORCESTER RD APT P107",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028925",
            "telephone_number": "774-946-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 ROLLSTONE RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205350",
            "telephone_number": "978-342-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKYE",
        "first_name": "KWABENA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH240016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.