Rene Owusu Agyapomaa
Individual provider Active NPI Pharmacist · Spokane, WA
NPI 1831920461 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1831920461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 61330847 (WA)
- Practice address
- 12 E Empire Ave
Spokane, WA 99207-1706 - Phone
- (509) 325-0781
- NPI assigned
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61330847 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61330847 | WA | Yes |
Addresses
Primary practice location
12 E Empire Ave
Spokane, WA 99207-1706
Mailing address
12 E Empire Ave
Spokane, WA 99207-1706
Phone (509) 325-0781
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.