Individual provider Active NPI

Solomon Kamkhaji, PHARMD.

  • Pharmacist
  • New York, NY
National Provider Identifier
1467160879
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I069677 Issued in NY
Practice address
1401 3Rd Ave
New York, NY 10075-0502
Phone
(212) 260-4900
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I069677 NY Primary

Addresses

Primary practice location

1401 3Rd Ave
New York, NY 10075-0502

Mailing address

736 Crawford Ave
Brooklyn, NY 11223-5548

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

LicenseStateTypeSpecialty
I069677NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orly Pharmacy Inc. CurrentSince Nov 20, 2022 Accepting new patients

Locations

1401 3rd Ave
New York, NY 10075
Phone (212) 260-4900

Organizations & group practices 1

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1467160879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CRAWFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750502",
            "telephone_number": "212-260-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMKHAJI",
        "first_name": "SOLOMON",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I069677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.