Active NPI
Yaw Boateng Anane, PHARMD
- Pharmacotherapy Pharmacist
- Fayetteville, NC
National Provider Identifier
1740622265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 23665
- Practice address
- 3296 Village Dr
Fayetteville, NC 28304-3817 - Phone
- (910) 433-4681
- NPI assigned
- Jul 25, 2013
- Last updated
- Jul 25, 2013
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 23665 | NC | Primary |
Addresses
Primary practice location
3296 Village Dr
Fayetteville, NC 28304-3817
Mailing address
6455 Hidden Lake Loop
Apt 133
Fayetteville, NC 28304-0393
Phone (559) 375-9806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23665 | Other | NC | PHARMACIST LICENSE |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23665 | NC | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1740622265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6455 HIDDEN LAKE LOOP",
"address_2": "APT 133",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283040393",
"telephone_number": "559-375-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3296 VILLAGE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043817",
"telephone_number": "910-433-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANANE",
"first_name": "YAW",
"middle_name": "BOATENG",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-25",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "23665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "23665",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.