Healthcare Provider Details

I. General information

NPI: 1922932615
Provider Name (Legal Business Name): ERNEST COZY ONYINAH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 N PEARL ST # M
BROCKTON MA
02301-1794
US

IV. Provider business mailing address

10 FATIMA LN
WORCESTER MA
01606-1273
US

V. Phone/Fax

Practice location:
  • Phone: 508-427-3224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number1246718
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: