Individual provider Active NPI

John Albert Kunze, RPH

  • Pharmacist
  • Navarre, OH
National Provider Identifier
1437263852
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-3-10514 Issued in OH
Practice address
4894 Erie Ave SW
Navarre, OH 44662-9601
Phone
(330) 879-5626
Fax
(330) 879-5666
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-3-10514 OH Primary

Addresses

Primary practice location

4894 Erie Ave SW
Navarre, OH 44662-9601

Mailing address

7540 Klingston St NW
Massillon, OH 44646-1037
Phone (330) 833-5658

Other identifiers 1

IdentifierTypeStateIssuer
2472088MedicaidOH

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

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437263852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 KLINGSTON ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446461037",
            "telephone_number": "330-833-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4894 ERIE AVE SW",
            "city": "NAVARRE",
            "state": "OH",
            "postal_code": "446629601",
            "telephone_number": "330-879-5626",
            "fax_number": "330-879-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZE",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-10514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2472088",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.