Kennedy Lewis Donkor

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH018591 Issued in GA

Practice address

4955 Sugarloaf Pkwy Ste 124
Lawrenceville, GA 30044-8838

Phone

(678) 577-9651

Fax

(678) 223-3302

NPI assigned

Dec 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sugarloaf Pkwy Pharmacy Inc.

  • Community/Retail Pharmacy
  • Lawrenceville, GA
  • NPI 1386216133
  NPD Authorized official
• Georgia CVS Pharmacy L.L.C

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)
• Georgia CVS Pharmacy, L.L.C.

  • Pharmacy
  • Norcross, GA
  • NPI 1982708814
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1780280503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 BUFORD HWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712606",
            "telephone_number": "770-209-0296",
            "fax_number": "770-209-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 SUGARLOAF PKWY STE 124",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448838",
            "telephone_number": "678-577-9651",
            "fax_number": "678-223-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONKOR",
        "first_name": "KENNEDY",
        "middle_name": "LEWIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH018591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamburai Dombo, PT
• Laurie Ann Dominy, M.ED.
• Crystal Marie Donaldson
• Rachel Donaldson
• Mai Li Dong, MD
• Andrew Terrence Doris II, M.D.
• Patsy Doris, AGNP
• Bradley Dorius, DO
• Jeanette Dormio, FNP-BC
• Sheryl Dornblaser

• Pharmacist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.