Kenneth Amankwah Kwarteng, RPH
Individual provider Active NPI Pharmacist · Atlanya, GA
NPI 1457646648 · NPPES record last updated Jun 15, 2011
Key facts
- NPI
- 1457646648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH021041 (GA)
- Practice address
- 1100 Hammond Drive
Atlanya, GA 30328 - Phone
- (770) 522-8194
- NPI assigned
- Jun 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH021041 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennison Pharmacy, LLC | Current | Accepting new patients | |
| Kennison Pharmacy, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH021041 | GA | Yes |
Addresses
Primary practice location
1100 Hammond Drive
Atlanya, GA 30328
Mailing address
P. O. Box 1477
Lawrenceville, GA 30046
Phone (770) 402-2523
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2011. 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.