Active NPI
Ndifreke Asuquo, PHARMD
- Pharmacist
- Waycross, GA
National Provider Identifier
1326836644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH035408
- Practice address
- 1800 Brunswick Hwy
Waycross, GA 31501-1061 - Phone
- (912) 285-2171
- NPI assigned
- Apr 28, 2025
- Last updated
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- No
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 | RPH035408 | GA | Primary |
Addresses
Primary practice location
1800 Brunswick Hwy
Waycross, GA 31501-1061
Mailing address
340 Southwilde Way Pooler
Pooler, GA 31322
Phone (404) 388-8502
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 |
|---|---|---|---|
| RPH035408 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients | |
| Georgia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1326836644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 SOUTHWILDE WAY POOLER",
"city": "POOLER",
"state": "GA",
"postal_code": "31322",
"telephone_number": "404-388-8502",
"fax_number": "404-388-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BRUNSWICK HWY",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315011061",
"telephone_number": "912-285-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASUQUO",
"first_name": "NDIFREKE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH035408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.