Individual provider Active NPI

Komal Prajapati, PHARM.D

  • Pharmacist
  • Camden, DE
National Provider Identifier
1104428457
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0005453 Issued in DE
Practice address
4598 S Dupont Hwy
Camden, DE 19934-1380
Phone
(302) 535-8604
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0005453 DE Primary

Addresses

Primary practice location

4598 S Dupont Hwy
Camden, DE 19934-1380

Mailing address

709 Sandy Hill TRL
Camden, DE 19934-4213
Phone (302) 359-4032

Other identifiers 1

IdentifierTypeStateIssuer
A1-0005453OtherDEBOARD OF PHARMACY

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
A1-0005453DEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Santram Health LLC CurrentSince Feb 4, 2024 Accepting new patients
Santram Health LLC CurrentSince Nov 15, 2020 Accepting new patients

Locations

4598 S DuPont Hwy
Camden, DE 19934
Phone (302) 535-8604

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1104428457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SANDY HILL TRL",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199344213",
            "telephone_number": "302-359-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4598 S DUPONT HWY",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199341380",
            "telephone_number": "302-535-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAJAPATI",
        "first_name": "KOMAL",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0005453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "A1-0005453",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, DE

Sources for this page

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

Verify at the official NPI Registry.