NPIMap

Individual provider Active NPI

Kamlesh T Mania

  • Pharmacist
  • West Covina, CA
National Provider Identifier
1023483385
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62673 Issued in CA
Practice address
1500 W West Covina Pkwy
Suite 100
West Covina, CA 91790-2708
Phone
(626) 338-7233
Fax
(626) 338-7255
NPI assigned
Dec 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62673 CA Primary

Addresses

Primary practice location

1500 W West Covina Pkwy
Suite 100
West Covina, CA 91790-2708

Mailing address

1500 W West Covina Pkwy
Suite 100
West Covina, CA 91790-2708
Phone (626) 338-7233

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
62673CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
PNK Pharmacy, Inc. Current Accepting new patients

Locations

1500 W West Covina Pkwy
Ste 100
West Covina, CA 91790
Phone (626) 338-7233

Organizations & group practices 1

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": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1023483385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W WEST COVINA PKWY",
            "address_2": "SUITE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902708",
            "telephone_number": "626-338-7233",
            "fax_number": "626-338-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W WEST COVINA PKWY",
            "address_2": "SUITE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902708",
            "telephone_number": "626-338-7233",
            "fax_number": "626-338-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIA",
        "first_name": "KAMLESH",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.