Individual provider Active NPI

Kwadwo Kissi Ofosuhene, PHARMD

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1518463074
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
019760 Issued in KY
Practice address
5602 Greenbluff Rd Apt 101
Louisville, KY 40219-2499
Phone
(502) 612-5056
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 019760 KY Primary

Addresses

Primary practice location

5602 Greenbluff Rd Apt 101
Louisville, KY 40219-2499

Mailing address

5602 Greenbluff Rd Apt 101
Louisville, KY 40219-2499
Phone (502) 612-5056

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
019760KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1518463074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 GREENBLUFF RD APT 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192499",
            "telephone_number": "502-612-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 GREENBLUFF RD APT 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192499",
            "telephone_number": "502-612-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOSUHENE",
        "first_name": "KWADWO",
        "middle_name": "KISSI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "019760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.