Active NPI
Ketankumar Thakkar
- Pharmacist
- Newton, NJ
National Provider Identifier
1124332374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02909300
- Practice address
- 237 Spring St
Newton, NJ 07860-2103 - Phone
- (973) 383-0292
- Fax
- (973) 383-7189
- NPI assigned
- Jul 29, 2010
- Sex
- Male
- 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 | 28RI02909300 | NJ | Primary |
Addresses
Primary practice location
237 Spring St
Newton, NJ 07860-2103
Mailing address
29 Lana Dr
Parsippany, NJ 07054-3439
Phone (973) 585-7198
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 |
|---|---|---|---|
| 28RI02909300 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1124332374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 LANA DR",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070543439",
"telephone_number": "973-585-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 SPRING ST",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078602103",
"telephone_number": "973-383-0292",
"fax_number": "973-383-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKAR",
"first_name": "KETANKUMAR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02909300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, NJ
- Mohamed Wyell Tarakji, PT, DPT
- David P Tarantino, M.D.
- Noel Mallari Tebangin, PT
- Ermalinda Terrezza
- Joseph Raffi Terzian, MD
- The Brighter Side Occupational Therapy
- The Capable Crew, Inc.
- The Imagecare Centers
- The Northwest New Jersey Medical-Surgical Alliance P C
- The Optical Center Doctors Office of Newton LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.