Kwaku Yeboah Agyeman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

71925 Issued in CA

Practice address

6360 W 3Rd St
Los Angeles, CA 90036-3155

Phone

(323) 937-3019

NPI assigned

Jul 18, 2017

Last updated

Jul 18, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CVS Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1457895872
  Authorized official Same address or phone

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1710400163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363155",
            "telephone_number": "323-937-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEMAN",
        "first_name": "KWAKU",
        "middle_name": "YEBOAH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Antoinette Agustin
• Francis Nicholas Rulao Agustin, PHARM.D.
• Mirasol Agustin
• Philline Mobo Agustin
• Stephen Agyei
• Akua Agyen
• Alice Evelyn Agzarian, MD
• Anita Yvonne Agzarian, MD
• Janet Ahadi, PHARM.D
• Sanam Ahadi

• Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.