Emmanuel Awah
Individual provider Active NPI Pharmacist · Lebanon, KY
NPI 1992446579 · NPPES record last updated Apr 6, 2022
Key facts
- NPI
- 1992446579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 019648 (KY)
- Practice address
- 512 W Main St
Lebanon, KY 40033-1339 - Phone
- (270) 692-0471
- NPI assigned
- Apr 6, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019648 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
512 W Main St
Lebanon, KY 40033
Phone (270) 692-0471
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019648 | KY | Yes |
Addresses
Primary practice location
512 W Main St
Lebanon, KY 40033-1339
Mailing address
512 W Main St
Lebanon, KY 40033-1339
Phone (270) 692-0471
Other providers in Lebanon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.