Active NPI
Kingo B Addae, PHARM. D
- Pharmacist
- Bronx, NY
National Provider Identifier
1487187274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03771400
- Practice address
- 1988 Newbold Ave Apt 4C
Bronx, NY 10472-5021 - Phone
- (718) 530-2753
- NPI assigned
- Apr 7, 2017
- Last updated
- Apr 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03771400 | NJ | Primary |
Addresses
Primary practice location
1988 Newbold Ave Apt 4C
Bronx, NY 10472-5021
Mailing address
1988 Newbold Ave Apt 4C
Bronx, NY 10472-5021
Phone (718) 530-2753
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03771400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1487187274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1988 NEWBOLD AVE APT 4C",
"city": "BRONX",
"state": "NY",
"postal_code": "104725021",
"telephone_number": "718-530-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1988 NEWBOLD AVE APT 4C",
"city": "BRONX",
"state": "NY",
"postal_code": "104725021",
"telephone_number": "718-530-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDAE",
"first_name": "KINGO",
"middle_name": "B",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03771400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.