Individual provider Active NPI

Kofi Osei Ayim-Darko

  • Pharmacist
  • Colmar Manor, MD
National Provider Identifier
1497408538
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28366 Issued in MD
Practice address
3611 Bladensburg Rd
Colmar Manor, MD 20722-1809
Phone
(301) 277-6667
NPI assigned
Jan 29, 2022
Last updated
Jan 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28366 MD Primary

Addresses

Primary practice location

3611 Bladensburg Rd
Colmar Manor, MD 20722-1809

Mailing address

3611 Bladensburg Rd
Colmar Manor, MD 20722-1809

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cvs@pharmacy Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
28366MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1497408538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BLADENSBURG RD",
            "city": "COLMAR MANOR",
            "state": "MD",
            "postal_code": "207221809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BLADENSBURG RD",
            "city": "COLMAR MANOR",
            "state": "MD",
            "postal_code": "207221809",
            "telephone_number": "301-277-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYIM-DARKO",
        "first_name": "KOFI",
        "middle_name": "OSEI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cvs@pharmacy",
            "affiliation": "N",
            "endpointDescription": "CVS@pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3611 Bladensburg Rd",
            "city": "Colmar Manor",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207221809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colmar Manor, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.