IndividualActive
Kwame Owusu-Banahene
NPI 1962000851 · Pharmacist · Lyons, IL
Provider details
- NPI number
- 1962000851
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 051299029 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4101 1st Ave
Lyons, IL 60534-1028
Phone: (708) 447-6851
Street-level locationGet directions
Mailing address
4101 1st Ave
Lyons, IL 60534-1028
Registry dates
- Enumerated
- 2020-10-13
- Last updated
- 2020-10-13
- Certified
- 2020-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.