KPS Care Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

52528 Issued in CA

Legal business name

KPS CARE INC

Practice address

8851 Center Dr
Ste 110
La Mesa, CA 91942-3017

Phone

(619) 461-8551

Fax

(619) 461-8553

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Ketan Patel

Title

Cfo

Phone

(619) 461-8551

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medical Arts Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Printuben Patel, RPH

  • Pharmacist
  • La Mesa, CA
  • NPI 1003296104
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1245264175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "STE 110",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-461-8551",
            "fax_number": "619-461-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "STE 110",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-461-8551",
            "fax_number": "619-461-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-461-8551"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "52528",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152187",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Arts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roshan Kotha, M.D
• Michael Peter Koumjian, MD
• Kourosh Khamooshian MD PC
• James J Kozak, D.D.S.
• Kpap Inc
• Kaily Kraemer, PTA
• Sheldon Z Kramer, PHD
• Kimberly A Kreifeldt, PA
• Ihor Krewsun, PHARM.D.,M.S.
• Lauren Kroeber, APCC

• Community/Retail Pharmacy in La Mesa, CA
• Providers in La Mesa, 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 Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.