Active NPI
Kennedy O Donkor, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Woodbridge, VA
National Provider Identifier
1952771297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0202214307
- Practice address
- 1497 Ranger Loop
202
Woodbridge, VA 22191-5252 - Phone
- (571) 247-7648
- NPI assigned
- Sep 29, 2015
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0202214307 | VA | Primary |
Addresses
Primary practice location
1497 Ranger Loop
202
Woodbridge, VA 22191-5252
Mailing address
1497 Ranger Loop
202
Woodbridge, VA 22191-5252
Phone (571) 247-7648
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202214307 | VA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1952771297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1497 RANGER LOOP",
"address_2": "202",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221915252",
"telephone_number": "571-247-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1497 RANGER LOOP",
"address_2": "202",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221915252",
"telephone_number": "571-247-7648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONKOR",
"first_name": "KENNEDY",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "VA",
"license": "0202214307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.