Anselm Kwaku Addo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH023531 Issued in GA

Practice address

566 East Main St
Dahlonega, GA 30533

Phone

(706) 864-7641

NPI assigned

Mar 24, 2011

Last updated

Mar 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holcomb Bridge Wellness Pharmacy Inc

  • Community/Retail Pharmacy
  • Roswell, GA
  • NPI 1770041956
  NPD

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1851690259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 WOODLEAF DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401205",
            "telephone_number": "678-947-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 EAST MAIN ST",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "30533",
            "telephone_number": "706-864-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDO",
        "first_name": "ANSELM",
        "middle_name": "KWAKU",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023531",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamdi Abdirahman, MD
• Lindsey Michelle Abreu, FNP-C
• Abundant Life Physical Therapy and Wellness LLC
• Aesthetics International USA
• Alison Sedgwick Alhadeff, PT
• Seth Abraham Alhadeff, P.T.
• Benjamin G Allen, MD
• Allergy and ENT of Ga

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.