NPIMap

Organization Active NPI

Kern Infusion Services Inc

  • Community/Retail Pharmacy
  • Bakersfield, CA
National Provider Identifier
1457538381
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50177 Issued in CA
Legal business name
KERN INFUSION SERVICES INC
Practice address
4004 Panama LN
Ste 100
Bakersfield, CA 93313-3769
Phone
(661) 664-8864
Fax
(661) 831-1343
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Kamal Gill, PHARM.D.
Title
President/Owner/Pic
Phone
(661) 664-8864

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY50177 CA Primary

Addresses

Primary practice location

4004 Panama LN
Ste 100
Bakersfield, CA 93313-3769

Mailing address

4004 Panama LN
Ste 100
Bakersfield, CA 93313-3769
Phone (661) 664-8864

Other identifiers 2

IdentifierTypeStateIssuer
5629691OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1457538381MedicaidCA

Other names 1

  • Panama Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131226001075 CA Part B Supplier - Mass Immunization (Roster Biller Only) 4981800901 Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1457538381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 PANAMA LN",
            "address_2": "STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133769",
            "telephone_number": "661-664-8864",
            "fax_number": "661-831-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 PANAMA LN",
            "address_2": "STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133769",
            "telephone_number": "661-664-8864",
            "fax_number": "661-831-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN INFUSION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PIC",
        "authorized_official_telephone_number": "661-664-8864",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5629691",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457538381",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panama Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.