Provider Demographics
NPI:1831691237
Name:AKOMEAH, RICHARD
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:AKOMEAH
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:
Other - Last Name:AKOMEAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD, MBA
Mailing Address - Street 1:880 ARLINGTON HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8158
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3458 DICKERSON PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2511
Practice Address - Country:US
Practice Address - Phone:615-873-2666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33244183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN33244OtherSTATE OF TENNESSEE PHARMACIST LICENSE