Enoch Asante
Individual provider Active NPI Pharmacist · Waynesboro, VA
NPI 1669986212 · NPPES record last updated Nov 17, 2017
Key facts
- NPI
- 1669986212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202216248 (VA)
- Practice address
- 101 Rosser Ave
Waynesboro, VA 22980-3510 - Phone
- (540) 942-1137
- NPI assigned
- Nov 17, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202216248 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nimos Light LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202216248 | VA | Yes |
Addresses
Primary practice location
101 Rosser Ave
Waynesboro, VA 22980-3510
Mailing address
15938 Canada Goose Loop
Woodbridge, VA 22191-5563
Other providers in Waynesboro, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.