Nana Addo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

22062 Issued in NC

Practice address

855 Hanes Mall Blvd
Winston Salem, NC 27103-5526

Phone

(336) 768-2888

NPI assigned

Sep 9, 2012

Last updated

Sep 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1347148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347148800000",
    "number": "1467701128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 AUTUMN MIST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035543",
            "telephone_number": "804-319-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 HANES MALL BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035526",
            "telephone_number": "336-768-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDO",
        "first_name": "NANA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-09",
        "last_updated": "2012-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22062",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211711",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY LICENSE",
            "identifier": "22062",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINA BOARD OF PHARMACY LICENSE",
            "identifier": "0202211711",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quentin Adams, M.D.
• Richard 'Mark' Adams, LPC
• Addiction Recovery Care Association
• Emily Nicole Addington, FNP-C
• Callista Rose Addis, PA-C
• Oluwaseun Deby Adejuwon
• Aderonke Oluponle Adeniyi, MD
• David Ader, RBT
• Tacorya Denise Adewodu, PHARMD
• Angela Adkins, LPC

• Pharmacist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2012; 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.