Individual provider Active NPI

Nagwa Kaldas, R.P.H.

  • Pharmacist
  • Covina, CA
National Provider Identifier
1144309014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44172 Issued in CA
Practice address
401 N Vincent Ave
Covina, CA 91722-3907
Phone
(626) 962-1061
Fax
(626) 962-1157
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44172 CA Primary

Addresses

Primary practice location

401 N Vincent Ave
Covina, CA 91722-3907

Mailing address

19036 Summit Ridge Dr
Walnut, CA 91789-4536
Phone (626) 810-2532

Other identifiers 1

IdentifierTypeStateIssuer
44172OtherCARPH LICENSE #

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
44172CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Paul Enterprises, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144309014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19036 SUMMIT RIDGE DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894536",
            "telephone_number": "626-810-2532",
            "fax_number": "626-962-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N VINCENT AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223907",
            "telephone_number": "626-962-1061",
            "fax_number": "626-962-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALDAS",
        "first_name": "NAGWA",
        "credential": "R.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "44172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE #",
            "identifier": "44172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.