Active NPI
Kweku Fosu-Amoah
- Pharmacist
- Miamisburg, OH
National Provider Identifier
1952015190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03442795
- Practice address
- 1205 E Central Ave
Miamisburg, OH 45342-3544 - Phone
- (937) 866-6651
- NPI assigned
- Jan 12, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 03442795 | OH | Primary |
Addresses
Primary practice location
1205 E Central Ave
Miamisburg, OH 45342-3544
Mailing address
1205 E Central Ave
Miamisburg, OH 45342-3544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03442795 | Other | OH | OHIO PHARMACIST LICENCE |
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 |
|---|---|---|---|
| 03442795 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Woodmere, OH
- NPI 1922736305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1952015190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 E CENTRAL AVE",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453423544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 E CENTRAL AVE",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453423544",
"telephone_number": "937-866-6651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSU-AMOAH",
"first_name": "KWEKU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03442795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO PHARMACIST LICENCE",
"identifier": "03442795",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.