Pokou JM Kouassi

Primary specialty

PharmacistTaxonomy code 183500000X

License

34239 Issued in NC

Practice address

9931 Gilead Rd
Huntersville, NC 28078-7544

Phone

(704) 875-7653

NPI assigned

Sep 24, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Southern Pines, NC
  • NPI 1538999107
  NPD (past)
• North Carolina CVS Pharmacy, L.L.C.

  • Pharmacy
  • Huntersville, NC
  • NPI 1538263207
  NPD (past)

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1497628606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 GILEAD RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9931 GILEAD RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787544",
            "telephone_number": "704-875-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUASSI",
        "first_name": "POKOU",
        "middle_name": "JM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "34239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Konikoff, PH.D. LCMHCS, LCAS
• Tamara Hill Koontz, PA
• Savan Mansukhlal Kothadia, MD
• Chandrasekhar Kothagundla, M.D
• Kyle Lynn Kotowski, COTA/L
• Glen J. Kowalchuk, MD
• Sarah Kraft, PA-C
• Tyler Joseph Kramer, MA, LPCA
• Jeffrey Krauss
• Bryan A Kreeb, DDS

• Pharmacist in Huntersville, NC
• Providers in Huntersville, 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 24, 2025; 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.