Kidneycare RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47005 Issued in CA

Legal business name

KIDNEYCARE RX INC

Practice address

2944 S Norfolk St
San Mateo, CA 94403-2018

Phone

(650) 349-1451

Fax

(650) 349-2570

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joshua M Golomb

Title

Vice President

Phone

(650) 696-8900

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1225292816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 OLD BAYSHORE HWY",
            "address_2": "SUITE 777",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101823",
            "telephone_number": "650-696-8900",
            "fax_number": "866-208-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 S NORFOLK ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032018",
            "telephone_number": "650-349-1451",
            "fax_number": "650-349-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEYCARE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "GOLOMB",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "650-696-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY47005",
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "CA",
            "license": "PHY47005",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY47005",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA470050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rubina Khilnani, MD
• Chia Seen Khoo
• Gloria Khinmyokywe Khoo, D.D.S
• Kanchan Khurana
• Justin Khuu
• Alexandra Kielly, BS
• Carolyn Kiely
• Masayasu Kihira, MD PHD
• Sweta Kikani, LMFT
• Kelly M Kilcoyne, LMFT

• Community/Retail Pharmacy in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.