Individual provider Active NPI

Ignatius Anane - Ansah

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1801129002
Registry record updated Sep 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18528 Issued in NC
Practice address
1415 N Wendover Rd
Charlotte, NC 28205-7129
Phone
(704) 332-9081
Fax
(704) 332-8621
NPI assigned
Sep 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18528 NC Primary

Addresses

Primary practice location

1415 N Wendover Rd
Charlotte, NC 28205-7129

Mailing address

600 S Summit Ave
Charlotte, NC 28208-4528
Phone (704) 906-0787

Other identifiers 1

IdentifierTypeStateIssuer
0609040MedicaidNC

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
18528NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252281600000",
    "number": "1801129002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S SUMMIT AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084528",
            "telephone_number": "704-906-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N WENDOVER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057129",
            "telephone_number": "704-332-9081",
            "fax_number": "704-332-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANE - ANSAH",
        "first_name": "IGNATIUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-07",
        "last_updated": "2009-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0609040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2009; 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.