Individual provider Active NPI

Christopher Joseph Kamlage, RPH

  • Pharmacist
  • New Lebanon, OH
National Provider Identifier
1275137341
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03217936 Issued in OH
Practice address
605 W Main St
New Lebanon, OH 45345-9173
Phone
(937) 687-0677
Fax
(937) 303-9742
NPI assigned
Nov 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03217936 OH Primary

Addresses

Primary practice location

605 W Main St
New Lebanon, OH 45345-9173

Mailing address

605 W Main St
New Lebanon, OH 45345-9173
Phone (937) 687-0677

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
03217936OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1275137341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W MAIN ST",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453459173",
            "telephone_number": "937-687-0677",
            "fax_number": "937-303-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W MAIN ST",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453459173",
            "telephone_number": "937-687-0677",
            "fax_number": "937-303-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMLAGE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03217936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.