Naana W Anakwah, PS
Individual provider Active NPI Pharmacist · Crestview, FL
NPI 1699440107 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1699440107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS62778 (FL)
- Practice address
- 3351 S Ferdon Blvd
Crestview, FL 32536-8484 - Phone
- (850) 682-9107
- NPI assigned
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| PS62778 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past |
Accepting new patients | |
| Wal-Mart Stores East, LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS62778 | FL | Yes |
Addresses
Primary practice location
3351 S Ferdon Blvd
Crestview, FL 32536-8484
Mailing address
3351 S Ferdon Blvd
Crestview, FL 32536-8484
Phone (850) 682-9107
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. 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.