Individual provider Active NPI

Edwin Bekoe Asante, B PHARM

  • Pharmacist
  • Lakeland, FL
National Provider Identifier
1760136188
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS36462 Issued in FL
Practice address
5515 US Highway 98 N Ste 1
Lakeland, FL 33809-3133
Phone
(863) 937-8092
Fax
(863) 937-8093
NPI assigned
Feb 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS36462 FL Primary

Addresses

Primary practice location

5515 US Highway 98 N Ste 1
Lakeland, FL 33809-3133

Mailing address

5515 US Highway 98 N Ste 1
Lakeland, FL 33809-3133
Phone (863) 937-8092

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

LicenseStateTypeSpecialty
PS36462FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Pharmacy LLC PastSince Feb 6, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1760136188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 US HIGHWAY 98 N STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093133",
            "telephone_number": "863-937-8092",
            "fax_number": "863-937-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 US HIGHWAY 98 N STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093133",
            "telephone_number": "863-937-8092",
            "fax_number": "863-937-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASANTE",
        "first_name": "EDWIN",
        "middle_name": "BEKOE",
        "credential": "B PHARM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS36462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.