Healthcare Provider Details

I. General information

NPI: 1306768189
Provider Name (Legal Business Name): GIFTY ADUSEI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 63
BRONX NY
10475-0063
US

IV. Provider business mailing address

4120 HUTCHINSON RIVER PKWY E
BRONX NY
10475-5432
US

V. Phone/Fax

Practice location:
  • Phone: 777-777-7777
  • Fax:
Mailing address:
  • Phone: 347-641-7882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number070306
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: