Active NPI
Richard Boateng
- Pharmacist
- Brooklyn Park, MD
National Provider Identifier
1932694726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11882
- Practice address
- 5722 Ritchie Hwy
Brooklyn Park, MD 21225-3641 - Phone
- (410) 636-9779
- Fax
- (410) 636-9783
- NPI assigned
- Jun 25, 2018
- Last updated
- Jun 25, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11882 | MD | Primary |
Addresses
Primary practice location
5722 Ritchie Hwy
Brooklyn Park, MD 21225-3641
Mailing address
11710 Locust Dale CT
Bowie, MD 20721-2564
Phone (240) 475-2443
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 |
|---|---|---|---|
| 11882 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1932694726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11710 LOCUST DALE CT",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212564",
"telephone_number": "240-475-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5722 RITCHIE HWY",
"city": "BROOKLYN PARK",
"state": "MD",
"postal_code": "212253641",
"telephone_number": "410-636-9779",
"fax_number": "410-636-9783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOATENG",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "11882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.