Individual provider Active NPI

Kwabena Agyemang Sarkodie

  • Pharmacist
  • Fort Washington, MD
National Provider Identifier
1780290544
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27555 Issued in MD
Practice address
8201 Oxon Hill Rd
Ft Washington, MD 20744-4718
Phone
(310) 839-7211
NPI assigned
Sep 17, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27555 MD Primary

Addresses

Primary practice location

8201 Oxon Hill Rd
Ft Washington, MD 20744-4718

Mailing address

11240 Cherry Hill Rd Apt 101
Beltsville, MD 20705-3844
Phone (240) 444-9894

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

LicenseStateTypeSpecialty
27555MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1780290544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 CHERRY HILL RD APT 101",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053844",
            "telephone_number": "240-444-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 OXON HILL RD",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444718",
            "telephone_number": "310-839-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEMANG SARKODIE",
        "first_name": "KWABENA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "27555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.