Active NPI
Kinjal Desai
- Pharmacist
- Nottingham, MD
National Provider Identifier
1043858194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26630
- Practice address
- 5230 Campbell Blvd
Nottingham, MD 21236-4983 - Phone
- (410) 933-9680
- NPI assigned
- Dec 19, 2019
- Last updated
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26630 | MD | Primary |
Addresses
Primary practice location
5230 Campbell Blvd
Nottingham, MD 21236-4983
Mailing address
115 Christina Landing Dr Apt 205
Wilmington, DE 19801-5453
Phone (586) 248-3002
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26630 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1043858194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CHRISTINA LANDING DR APT 205",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198015453",
"telephone_number": "586-248-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 CAMPBELL BLVD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364983",
"telephone_number": "410-933-9680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "KINJAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.