Individual provider Active NPI

Kunal Kanani, PHARM.D

  • Pharmacist
  • Rockaway, NJ
National Provider Identifier
1285077628
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03525500 Issued in NJ
Practice address
381 Mount Hope Ave
Rockaway, NJ 07866-1645
Phone
(973) 989-5740
NPI assigned
Apr 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03525500 NJ Primary

Addresses

Primary practice location

381 Mount Hope Ave
Rockaway, NJ 07866-1645

Mailing address

44 Center Grove Rd Apt Q-28
Randolph, NJ 07869-4492
Phone (209) 245-8625

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03525500NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1285077628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CENTER GROVE RD APT Q-28",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694492",
            "telephone_number": "209-245-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 MOUNT HOPE AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661645",
            "telephone_number": "973-989-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANANI",
        "first_name": "KUNAL",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03525500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.