Queensway ENT. Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

QUEENSWAY ENT. INC.

Doing business as

Queensway Pharmacy

Practice address

691 Collins St
Suite 1B
Joliet, IL 60432-1856

Phone

(630) 236-9502

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richmond Nimako-Boateng, PHARM.DNPI 1306145875

Title

Ceo

Phone

(630) 236-9502

Specialties & licenses 2

Addresses

Other names 1

• QUEENSWAY PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richmond G Nimako-Boateng, PHARM.D, RPH

  • Pharmacotherapy Pharmacist
  • Aurora, IL
  • NPI 1306145875
  NPD (past) Authorized official

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1558627323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4863",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605674863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 COLLINS ST",
            "address_2": "SUITE 1B",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321856",
            "telephone_number": "630-236-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSWAY ENT. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "NIMAKO-BOATENG",
        "authorized_official_first_name": "RICHMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-236-9502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUEENSWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corinne Ann Puriski, M.S.,CCC-SLP
• Sakina Syeda Quadri
• Quality DRT LLC
• Jeriel Marsena Quarles, LPN
• Eric Quasie, PMHNP-BC
• David Quell, M.D.
• Robert D Quevillon, MD
• Rosario Martos Quick
• Steven Quigley, C.PHT
• Kimberly Quilty

• Community/Retail Pharmacy in Joliet, IL
• Providers in Joliet, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.