Individual provider Active NPI

Kwadwo K Ansong, PHARM.D.,BCPS,BCGP,

  • Geriatric Pharmacist
  • Richmond, TX
National Provider Identifier
1780117689
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
2867 Issued in VA
Practice address
11131 Flanker Way
Richmond, TX 77407-1935
Phone
(956) 525-9461
NPI assigned
Apr 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 2867 VA Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 45500 TX
Pharmacotherapy Pharmacist 1835P1200X 3150895 DC

Addresses

Primary practice location

11131 Flanker Way
Richmond, TX 77407-1935

Mailing address

11131 Flanker Way
Richmond, TX 77407-1935
Phone (956) 525-9461

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
2867VAMDGeriatric Pharmacist
3150895DCMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1780117689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11131 FLANKER WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071935",
            "telephone_number": "956-525-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11131 FLANKER WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071935",
            "telephone_number": "956-525-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSONG",
        "first_name": "KWADWO",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.,BCPS,BCGP,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "VA",
            "license": "2867",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "45500",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "DC",
            "license": "3150895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.