Individual provider Active NPI

Kwadwo Bekoe, PHARMD

  • Pharmacist
  • Berlin, NJ
National Provider Identifier
1376931279
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03618000 Issued in NJ
Practice address
360 S White Horse Pike
Berlin, NJ 08009-1974
Phone
(856) 336-2855
Fax
(856) 809-6667
NPI assigned
Dec 30, 2014
Last updated
Dec 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03618000 NJ Primary

Addresses

Primary practice location

360 S White Horse Pike
Berlin, NJ 08009-1974

Mailing address

360 S White Horse Pike
Berlin, NJ 08009-1974
Phone (856) 336-2855

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

LicenseStateTypeSpecialty
28RI03618000NJMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1376931279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S WHITE HORSE PIKE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091974",
            "telephone_number": "856-336-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S WHITE HORSE PIKE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091974",
            "telephone_number": "856-336-2855",
            "fax_number": "856-809-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKOE",
        "first_name": "KWADWO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03618000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.