Individual provider Active NPI

Kammi Humed

  • Student in an Organized Health Care Education/Training Program
  • Pickerington, OH
National Provider Identifier
1063869725
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on May 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
S022264AZMDPharmacist
03440320OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ak RX Pharmacy LLC Current Accepting new patients
Walgreen Co CurrentSince May 16, 2022 Accepting new patients
Walgreen Co PastSince May 16, 2022 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.

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.

Verify at the official NPI Registry.