Active NPI
Collins Kofi Asamoah
- Pharmacist
- Marietta, GA
National Provider Identifier
1972385284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH034577
- Practice address
- 3905 Due West Rd NW
Marietta, GA 30064-1019 - Phone
- (678) 290-5740
- NPI assigned
- Oct 20, 2023
- 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 | RPH034577 | GA | Primary |
Addresses
Primary practice location
3905 Due West Rd NW
Marietta, GA 30064-1019
Mailing address
1945 Powers Ferry Rd SE Apt 424
Atlanta, GA 30339-5887
Phone (267) 471-5526
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 |
|---|---|---|---|
| RPH034577 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1972385284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 POWERS FERRY RD SE APT 424",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395887",
"telephone_number": "267-471-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 DUE WEST RD NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641019",
"telephone_number": "678-290-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASAMOAH",
"first_name": "COLLINS",
"middle_name": "KOFI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-20",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH034577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.