Individual provider Active NPI

Owusu Sakyi-Agyekum

  • Pharmacist
  • Fort Myers, FL
National Provider Identifier
1881283885
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS46973 Issued in FL
Practice address
8291 Dani Dr Ste 103
Fort Myers, FL 33966-8009
Phone
(904) 437-1529
NPI assigned
Jan 13, 2021
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS46973 FL Primary

Addresses

Primary practice location

8291 Dani Dr Ste 103
Fort Myers, FL 33966-8009

Mailing address

8291 Dani Dr Ste 103
Fort Myers, FL 33966-8009
Phone (904) 437-1529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409002108 FL Practitioner - Family Practice 0143653352 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Promell Pharmacy CurrentSince Mar 18, 2021 Accepting new patients
Coastal Primecare FL Group CurrentSince Apr 1, 2025 Accepting new patients

Locations

8291 Dani Dr
Ste 100
Fort Myers, FL 33966
Phone (239) 264-7022

8291 Dani Dr
Ste 103
Fort Myers, FL 33966
Phone (239) 766-8300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1881283885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8291 DANI DR STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339668009",
            "telephone_number": "904-437-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8291 DANI DR STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339668009",
            "telephone_number": "904-437-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKYI-AGYEKUM",
        "first_name": "OWUSU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.