NPIMap

Individual provider Active NPI

Kunal Amin

  • Pharmacist
  • Rootstown, OH
National Provider Identifier
1396261079
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03129618 Issued in OH
Practice address
4211 State Route 44 Ste 207-208
Rootstown, OH 44272-9733
Phone
(330) 325-6157
NPI assigned
Aug 15, 2017
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03129618 OH Primary

Addresses

Primary practice location

4211 State Route 44 Ste 207-208
Rootstown, OH 44272-9733

Mailing address

10073 Sundown TRL
North Royalton, OH 44133-6187

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
03129618OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Neovations Pharmacy Services, LLC CurrentSince Mar 5, 2023 Accepting new patients
Neovations Pharmacy Services, LLC Current Accepting new patients
Riser Foods Company Past Accepting new patients
Riser Foods Company Past Accepting new patients

Locations

4211 State Route 44
Ste 207208
Rootstown, OH 44272
Phone (330) 325-6157

Organizations & group practices 4

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1396261079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10073 SUNDOWN TRL",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441336187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 STATE ROUTE 44 STE 207-208",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729733",
            "telephone_number": "330-325-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "KUNAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03129618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rootstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.