Individual provider Active NPI

Kaushik Daji

  • Pharmacist
  • Edmond, OK
National Provider Identifier
1003405481
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11326 Issued in OK
Practice address
3200 S Santa Fe Ave
Edmond, OK 73013-2009
Phone
(405) 641-3330
Fax
(405) 330-8267
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11326 OK Primary

Addresses

Primary practice location

3200 S Santa Fe Ave
Edmond, OK 73013-2009

Mailing address

3200 S Santa Fe Ave
Edmond, OK 73013-2009
Phone (405) 330-8107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11326OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma CVS Pharmacy LLC PastSince Jan 17, 2021 Accepting new patients
Oklahoma CVS Pharmacy LLC PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1003405481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132009",
            "telephone_number": "405-330-8107",
            "fax_number": "405-330-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132009",
            "telephone_number": "405-641-3330",
            "fax_number": "405-330-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAJI",
        "first_name": "KAUSHIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.