Active NPI
Kammi Humed
- Student in an Organized Health Care Education/Training Program
- Pickerington, OH
National Provider Identifier
1063869725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1101 Hill Rd N
Pickerington, OH 43147-8887 - Phone
- (614) 751-1736
- NPI assigned
- May 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03440320 | OH | |
| Pharmacist | 183500000X | S022264 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1101 Hill Rd N
Pickerington, OH 43147-8887
Mailing address
4685 E Grant Rd
102
Tucson, AZ 85712-2618
Phone (520) 326-4341
Other practice location 1
4685 E Grant Rd
102
Tucson, AZ 85712-2618
Phone (520) 326-4341
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 |
|---|---|---|---|
| S022264 | AZ | MD | Pharmacist |
| 03440320 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ak RX Pharmacy LLC | Current | Accepting new patients | |
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1101 Hill Rd N
Pickerington, OH 43147
Phone (614) 751-1736
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Pickerington, OH
- NPI 1124994991
-
- Pharmacy
- Pickerington, OH
- NPI 1790018752
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1063869725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 E GRANT RD",
"address_2": "102",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122618",
"telephone_number": "520-326-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 HILL RD N",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431478887",
"telephone_number": "614-751-1736"
}
],
"practiceLocations": [
{
"address_1": "4685 E Grant Rd",
"address_2": "102",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122618",
"country_code": "US",
"telephone_number": "520-326-4341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMED",
"first_name": "KAMMI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-23",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03440320",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S022264",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.