Enoch A Ofosu, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PH35494 Issued in FL

Practice address

1478 N Wilson Ave
Bartow, FL 33830-3373

Phone

(863) 537-6694

Fax

(863) 537-6579

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: info@bartowpharmcy.com

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.

• Intergrated Pharmaceutical Solutions LLC

  dba Bartow Pharmacy & Medical Supply

  • Community/Retail Pharmacy
  • Bartow, FL
  • NPI 1013296649
  Authorized official Same address or phone
• Intergrated Pharmaceutical Solutions LLC

  dba Bartow Pharmacy & Medical Supply

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Bartow, FL
  • NPI 1609691039
  Authorized official Same address or phone
• Intergrated Pharmceutical Solutions LLC

  • Specialty Pharmacy
  • Bartow, FL
  • NPI 1750148375
  Authorized official Same address or phone

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1720657893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 N WILSON AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303373",
            "telephone_number": "863-537-6694",
            "fax_number": "863-537-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 N WILSON AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303373",
            "telephone_number": "863-537-6694",
            "fax_number": "863-537-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOSU",
        "first_name": "ENOCH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PH35494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "info@bartowpharmacy.com",
            "affiliation": "N",
            "endpointDescription": "Business  email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10106 Deercliff Dr",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336472936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bartowpharmcy.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1478 N Wilson Ave",
            "city": "Bartow",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338303373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allison Nicola
• Rafael Jacinto Nobo Jr., M.D.,P.A
• North American Youth Foundation Services, Inc (Hope Now Services, Inc)
• Occupational Health Centers of the Southwest P.a. (Concentra - Polk County Onsite)
• Occupational Health Centers of the Southwest, P.a. (FL) (Concentra Medical Center)
• Briane Olson, RN, APRN
• One Hope United
• Optomeyez Vision LLC
• Melisa Marie Ortiz Rodriguez, RN
• Fernando Ortiz, RN

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bartow, FL
• Providers in Bartow, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.