Yaw O Acheampong, PHARMD
Individual provider Active NPI Pharmacist · Lakeland, FL
NPI 1356500904 · NPPES record last updated Jun 7, 2008
Key facts
- NPI
- 1356500904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS35155 (FL)
- Practice address
- 311 E Memorial Blvd
Lakeland, FL 33801-1766 - Phone
- (863) 688-1386
- NPI assigned
- Jun 7, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| PS35155 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS35155 | FL | Yes |
Addresses
Primary practice location
311 E Memorial Blvd
Lakeland, FL 33801-1766
Mailing address
624 Whisper Woods Dr
Lakeland, FL 33813-5645
Phone (863) 607-4276
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2008. 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.