Active NPI
Kwaku Aninagyei Yeboah
- Pharmacist
- Saginaw, MI
National Provider Identifier
1689021495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302043926
- Practice address
- 3050 Bay Rd
Saginaw, MI 48603-2415 - Phone
- (989) 792-9606
- NPI assigned
- May 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302043926 | MI | Primary |
Addresses
Primary practice location
3050 Bay Rd
Saginaw, MI 48603-2415
Mailing address
3050 Bay Rd
Saginaw, MI 48603-2415
Phone (989) 792-9606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302043926 | Other | MI | MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302043926 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
- Community/Retail Pharmacy
- Saginaw, MI
- NPI 1740290519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463788800000",
"number": "1689021495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 BAY RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032415",
"telephone_number": "989-792-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 BAY RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032415",
"telephone_number": "989-792-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEBOAH",
"first_name": "KWAKU",
"middle_name": "ANINAGYEI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-21",
"last_updated": "2016-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302043926",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
"identifier": "5302043926",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.