Provider Demographics
NPI:1003661463
Name:NOAMESI, KOFIKUMA AMEEFIA (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:KOFIKUMA
Middle Name:AMEEFIA
Last Name:NOAMESI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11662 PARK SOUTH LOOP
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7879
Mailing Address - Country:US
Mailing Address - Phone:720-999-7708
Mailing Address - Fax:
Practice Address - Street 1:6 CONLEY RD
Practice Address - Street 2:
Practice Address - City:LA JUNTA
Practice Address - State:CO
Practice Address - Zip Code:81050-9640
Practice Address - Country:US
Practice Address - Phone:719-384-5951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA0024621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist