MEDICARE: RAYMOND OBENG SEFAH PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	073296	NY

General Provider Information

NPI Number	:	1275491136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND OBENG SEFAH PHARMD

Provider Business Mailing Address
First Line	:	512 JACKSON AVE APT 2A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-4360
Country	:	US
Telephone Number	:	347-575-8484
Fax Number	:	347-575-8484

Provider Business Practice Location Address
First Line	:	512 JACKSON AVE APT 2A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-4360
Country	:	US
Telephone Number	:	347-575-8484
Fax Number	:	347-575-8484

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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