Doreen Adwobi Dormah Boadu, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH1000693 Issued in MA

Practice address

227 S Main St
Manchester, NH 03102-4838

Phone

(603) 666-8538

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Eastern Co Inc

  • Pharmacy
  • Manchester, NH
  • NPI 1366457343
  NPD
• Walgreen Eastern Co Inc

  • Pharmacy
  • Brookhaven, PA
  • NPI 1215942206
  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1548091317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WILLIAMSBERG DR APT B",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023041",
            "telephone_number": "508-762-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024838",
            "telephone_number": "603-666-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAH BOADU",
        "first_name": "DOREEN",
        "middle_name": "ADWOBI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH1000693",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-05074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Donohue
• Christi Donovan, LADC
• Dolores Donovan, LCMHC
• Kate Donovan, LICSW
• Anna A Dore, RN
• Handel Dormus, LPN
• Madel Dorn
• Timothy Keeley Dorr, PA-C
• Diana Dorsey, MD
• Laurie Doucette, LICSW, MLADC

• Pharmacist in Manchester, NH
• Providers in Manchester, NH by specialty
• Pharmacist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.