Arjol Koka, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302413137 Issued in MI

Practice address

3681 Shawnee Rd
Bridgman, MI 49106-9713

Phone

(269) 465-6777

NPI assigned

Mar 21, 2022

Last updated

Mar 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04238

  • Community/Retail Pharmacy
  • Bridgman, MI
  • NPI 1013026582
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1194474890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MINNESOTA DR APT 1",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834439",
            "telephone_number": "248-808-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 SHAWNEE RD",
            "city": "BRIDGMAN",
            "state": "MI",
            "postal_code": "491069713",
            "telephone_number": "269-465-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKA",
        "first_name": "ARJOL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302413137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth J. Kieft DDS PC (Red Arrow Dentistry)
• Kenneth John Kieft, DDS PC
• Latreasa Klann
• Pam J Klint, N.P
• Susan Marie Knafel, P.A.-C
• James A Kroeze, DO
• Linda Kuball, OTR
• Lakeland Medical Practices (Southwestern Medical Clinic - Bridgman)
• Lakeland Medical Practices (Corewell Health Medical Group South)
• Michael Joseph Marcincuk, DDS

• Pharmacist in Bridgman, MI
• Providers in Bridgman, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.