Individual provider Active NPI

Gabriel Kevin Kantor, PHARMACIST

  • Pharmacist
  • Millville, DE
National Provider Identifier
1326529579
Registry record updated Aug 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0005292 Issued in DE
Practice address
36729 Old Mill Rd
Millville, DE 19967-6952
Phone
(302) 539-3334
NPI assigned
Aug 26, 2018
Last updated
Aug 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0005292 DE Primary

Addresses

Primary practice location

36729 Old Mill Rd
Millville, DE 19967-6952

Mailing address

30048 Judson LN
Dagsboro, DE 19939-3381
Phone (443) 617-2576

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

State licenses

LicenseStateTypeSpecialty
A1-0005292DEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shorecare Vaccines LLC Pharmacist Current Accepting new patients
Rite Aid of Delaware Inc Past Accepting new patients
Rite Aid of Delaware Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535241600000",
    "number": "1326529579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30048 JUDSON LN",
            "city": "DAGSBORO",
            "state": "DE",
            "postal_code": "199393381",
            "telephone_number": "443-617-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36729 OLD MILL RD",
            "city": "MILLVILLE",
            "state": "DE",
            "postal_code": "199676952",
            "telephone_number": "302-539-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "GABRIEL",
        "middle_name": "KEVIN",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-26",
        "last_updated": "2018-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0005292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; 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.