Individual provider Active NPI

Emmanuel K Adu-Boahen, RPH

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1649410523
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042622 Issued in NY
Practice address
1998 Bruckner Blvd
Bronx, NY 10473-2500
Phone
(718) 430-9513
Fax
(718) 430-1589
NPI assigned
Mar 4, 2009
Last updated
Mar 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042622 NY Primary

Addresses

Primary practice location

1998 Bruckner Blvd
Bronx, NY 10473-2500

Mailing address

1998 Bruckner Blvd
Bronx, NY 10473-2500
Phone (718) 430-9513

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
042622NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1649410523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732500",
            "telephone_number": "718-430-9513",
            "fax_number": "718-430-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732500",
            "telephone_number": "718-430-9513",
            "fax_number": "718-430-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU-BOAHEN",
        "first_name": "EMMANUEL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.