Individual provider Active NPI

John Agyemang, PHARMD

  • Pharmacist
National Provider Identifier
1487934626
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03165100 Issued in NJ
Practice address
Landstuhl Regional Medical Center
CMR 405 Box 7688
Apo, AE 09034-7688
Phone
496371857220
NPI assigned
Aug 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP444864 PA
Pharmacist 183500000X 28RI03165100 NJ Primary
Pharmacist 183500000X 18567 NC
Pharmacotherapy Pharmacist 1835P1200X PCT 9925 CT

Addresses

Primary practice location

Landstuhl Regional Medical Center
CMR 405 Box 7688
Apo, AE 09034-7688

Mailing address

CMR 405
Box 7688
Apo, AE 09034
Phone 496371867220

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

LicenseStateTypeSpecialty
18567NCMDPharmacist
28RI03165100NJMDPharmacist
RP444864PAMDPharmacist
PCT 9925CTMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jolins Pharmacy Current Accepting new patients
Winslow Pharmacy Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1487934626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "CMR 405",
            "address_2": "BOX 7688",
            "city": "APO",
            "state": "AE",
            "postal_code": "09034",
            "telephone_number": "496371867220",
            "fax_number": "496371857220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "LANDSTUHL REGIONAL MEDICAL CENTER",
            "address_2": "CMR 405 BOX 7688",
            "city": "APO",
            "state": "AE",
            "postal_code": "090347688",
            "telephone_number": "496371857220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEMANG",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP444864",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03165100",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18567",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CT",
            "license": "PCT 9925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.