Kanayo Frank Ume, PHARM.D

Individual provider Active NPI Pharmacist · Fort Mohave, AZ

NPI 1770915993 · NPPES record last updated Jul 31, 2013

Key facts

NPI
1770915993
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
S011020 (AZ)
Practice address
4823 S Highway 95
Fort Mohave, AZ 86426-8314
Phone
(928) 704-4443
Fax
(928) 704-1684
NPI assigned
Jul 31, 2013
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
S011020AZMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S011020 AZ Yes

Addresses

Primary practice location

4823 S Highway 95
Fort Mohave, AZ 86426-8314

Mailing address

4823 S Highway 95
Fort Mohave, AZ 86426-8314
Phone (928) 704-4443

Other providers in Fort Mohave, AZ

All providers in Fort Mohave, AZ · Pharmacist in Arizona

Sources for this page

Verify at the official NPI Registry.