Individual provider Active NPI

Fredrick Obeng Anakwah

  • Pharmacist
  • Albany, GA
National Provider Identifier
1972103190
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH028240 Issued in GA
Practice address
2825 Ledo Rd
Albany, GA 31707-1363
Phone
(229) 889-9923
Fax
(229) 889-0211
NPI assigned
Oct 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH028240 GA Primary

Addresses

Primary practice location

2825 Ledo Rd
Albany, GA 31707-1363

Mailing address

317 Willow Lake Dr
Leesburg, GA 31763-5417
Phone (404) 952-0352

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

LicenseStateTypeSpecialty
RPH028240GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1972103190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 WILLOW LAKE DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635417",
            "telephone_number": "404-952-0352",
            "fax_number": "229-889-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 LEDO RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071363",
            "telephone_number": "229-889-9923",
            "fax_number": "229-889-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAKWAH",
        "first_name": "FREDRICK",
        "middle_name": "OBENG",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH028240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.