Active NPI
Kwame Quansah
- Pharmacist
- Ontario, CA
National Provider Identifier
1881135648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38290
- Practice address
- 203 W G St
Ontario, CA 91762-3227 - Phone
- (860) 371-0709
- NPI assigned
- Mar 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 38290 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 38290 | CA | |
| Pharmacist | 183500000X | 38290 | CA | Primary |
Addresses
Primary practice location
203 W G St
Ontario, CA 91762-3227
Mailing address
203 W G St
Ontario, CA 91762-3227
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38290 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1881135648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 W G ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W G ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623227",
"telephone_number": "860-371-0709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUANSAH",
"first_name": "KWAME",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-13",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "38290",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "38290",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "38290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.