Lawvet Fonbah Asukwa, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

19719-40 Issued in WI

Practice address

108 W Wall St
Eagle River, WI 54521-9811

Phone

(715) 479-1069

NPI assigned

Feb 26, 2020

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #12545

  • Pharmacy
  • Eagle River, WI
  • NPI 1952537599
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1447884697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W WALL ST",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219811",
            "telephone_number": "715-479-1069",
            "fax_number": "715-479-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W WALL ST",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219811",
            "telephone_number": "715-479-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASUKWA",
        "first_name": "LAWVET",
        "middle_name": "FONBAH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "19719-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspirus Eagle River Hospital & Clinics, Inc. (Aspirus Eagle River Hospital)
• Aspirus Eagle River Hospital & Clinics, Inc. (Aspirus Eagle River Hospital)
• Aspirus Eagle River Hospital, Inc (Aspirus Eagle River Hospital)
• Aspirus Eagle River Hospital, Inc. (Aspirus Eagle River Hospital)
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Eagle River Clinic)
• Randall L Athens, RPH
• Kris Ann Barnekow, PHD,OTR/L,IMH-E
• Scott David Beattie, DDS
• Marianne Bergs
• Jill K Brunstad, PA

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Eagle River, WI
• Providers in Eagle River, WI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.