Active NPI
Baiden Opoku
- Pharmacist
- Glen Allen, VA
National Provider Identifier
1760816078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202212383
- Practice address
- 9801 Brook Rd
Glen Allen, VA 23059-4530 - Phone
- (804) 264-9587
- NPI assigned
- Aug 23, 2013
- Last updated
- Aug 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202212383 | VA | Primary |
Addresses
Primary practice location
9801 Brook Rd
Glen Allen, VA 23059-4530
Mailing address
9310 N Run Rd
Glen Allen, VA 23060-3909
Phone (956) 266-4466
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202212383 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | 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, 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": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1760816078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9310 N RUN RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603909",
"telephone_number": "956-266-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 BROOK RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230594530",
"telephone_number": "804-264-9587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPOKU",
"first_name": "BAIDEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-23",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202212383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.