Adkoa Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004744 Issued in VA

Legal business name

ADKOA PHARMACY LLC

Practice address

8261 Shoppers SQ
Manassas, VA 20111-2176

Phone

(703) 479-7642

NPI assigned

Jul 29, 2016

Last updated

Jan 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adwoa AddaiNPI 1861255341

Title

Owner

Phone

(513) 375-8341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adwoa Addai

  • Pharmacist
  • Manassas, VA
  • NPI 1861255341
  NPD Authorized official

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1407309099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6159 TREYWOOD LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201125905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 SHOPPERS SQ",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201112176",
            "telephone_number": "703-479-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADKOA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "ADDAI",
        "authorized_official_first_name": "ADWOA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-375-8341",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Manassas, VA
• Providers in Manassas, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.