Individual provider Active NPI

Kavita Prasad, RPH

  • Pharmacist
  • Sacramento, CA
National Provider Identifier
1033837612
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
72696 Issued in CA
Practice address
2900 Fulton Ave
Sacramento, CA 95821-4994
Phone
(916) 489-3638
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 72696 CA Primary

Addresses

Primary practice location

2900 Fulton Ave
Sacramento, CA 95821-4994

Mailing address

3014 Palmate Way
Sacramento, CA 95834-2615
Phone (916) 599-2527

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Surescripts Health Information Exchange (HIE) K & J RX INC

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
72696CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
K & J RX Inc CurrentSince Aug 28, 2022 Accepting new patients
K & J RX Inc PastSince Aug 28, 2022 Accepting new patients

Locations

2900 Fulton Ave
Sacramento, CA 95821
Phone (916) 489-3638

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1033837612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 PALMATE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342615",
            "telephone_number": "916-599-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214994",
            "telephone_number": "916-489-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "KAVITA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "72696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Surescripts",
            "affiliation": "Y",
            "endpointDescription": "Pioneer",
            "affiliationName": "K & J RX INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2900 Fulton Ave",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958214910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.