Individual provider Active NPI

Frederick Boamah Opoku

  • Pharmacist
  • Cincinnati, OH
National Provider Identifier
1730802604
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03440930 Issued in OH
Practice address
8215 Colerain Ave
Cincinnati, OH 45239-3922
Phone
(513) 741-4646
Fax
(513) 741-4474
NPI assigned
Sep 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03440930 OH Primary

Addresses

Primary practice location

8215 Colerain Ave
Cincinnati, OH 45239-3922

Mailing address

8215 Colerain Ave
Cincinnati, OH 45239-3922
Phone (513) 741-4646

Other identifiers 1

IdentifierTypeStateIssuer
TV475905OtherOHDRIVERS LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address opokufb@mail.uc.edu
Direct Messaging Address opokufb@mail.uc.edu Direct

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

LicenseStateTypeSpecialty
03440930OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio CVS Stores, L.L.C. PastSince Oct 2, 2022 Accepting new patients
Ohio CVS Stores LLC PastSince Oct 2, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1730802604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452393922",
            "telephone_number": "513-741-4646",
            "fax_number": "513-741-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452393922",
            "telephone_number": "513-741-4646",
            "fax_number": "513-741-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPOKU",
        "first_name": "FREDERICK",
        "middle_name": "BOAMAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03440930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "TV475905",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "opokufb@mail.uc.edu",
            "affiliation": "N",
            "address_1": "7600 Wildbranch Rd",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450117785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "opokufb@mail.uc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7600 Wildbranch Rd",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450117785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.