Active NPI
Edmond Osei Kankam
- Pharmacist
- Bayville, NJ
National Provider Identifier
1336610682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03985300
- Practice address
- 416 U.S 9
Bayville, NJ 08721 - Phone
- (732) 269-0900
- NPI assigned
- Dec 16, 2018
- Sex
- Male
- 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 | 28RI03985300 | NJ | Primary |
Addresses
Primary practice location
416 U.S 9
Bayville, NJ 08721
Mailing address
746 S 15TH St
Newark, NJ 07103-1460
Phone (862) 218-4268
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 |
|---|---|---|---|
| 28RI03985300 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1336610682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 S 15TH ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071031460",
"telephone_number": "862-218-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 U.S 9",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "08721",
"telephone_number": "732-269-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANKAM",
"first_name": "EDMOND",
"middle_name": "OSEI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03985300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.