Active NPI
Yaman Kaakeh, PHARM.D.,BCPS,BCNSP
- Pharmacist
- West Lafayette, IN
National Provider Identifier
1457613408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26021991A
- Practice address
- 575 Stadium Mall Dr # 502D
West Lafayette, IN 47907-2091 - Phone
- (765) 494-8173
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26021991A | IN | Primary |
| Pharmacist | 183500000X | 5302036315 | MI |
Addresses
Primary practice location
575 Stadium Mall Dr # 502D
West Lafayette, IN 47907-2091
Mailing address
575 Stadium Mall Dr # 502D
West Lafayette, IN 47907-2091
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26021991A | IN | MD | Pharmacist |
| 5302036315 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1457613408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 STADIUM MALL DR # 502D",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479072091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 STADIUM MALL DR # 502D",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479072091",
"telephone_number": "765-494-8173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAAKEH",
"first_name": "YAMAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.,BCPS,BCNSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021991A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302036315",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.