Organization Active NPI

Kasp LLC

Doing business as Northgate Family Pharmacy

  • Community/Retail Pharmacy
  • Camden, NJ
National Provider Identifier
1528101680
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00655500 Issued in NJ
Legal business name
KASP LLC
Doing business as
Northgate Family Pharmacy
Practice address
433 N 7TH St
Camden, NJ 08102-2212
Phone
(856) 541-8242
Fax
(856) 541-6344
NPI assigned
Feb 15, 2007
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Kamal Patel, RPH
Title
Pic
Phone
(856) 541-8242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28RS00655500 NJ Primary

Addresses

Primary practice location

433 N 7TH St
Camden, NJ 08102-2212

Mailing address

433 N 7TH St
Camden, NJ 08102-2212
Phone (856) 541-8242

Other identifiers 3

IdentifierTypeStateIssuer
2051985OtherPK
0093675MedicaidNJ
4985401MedicaidNJ

Other names 1

  • NORTHGATE FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1528101680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N 7TH ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081022212",
            "telephone_number": "856-541-8242",
            "fax_number": "856-541-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 7TH ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081022212",
            "telephone_number": "856-541-8242",
            "fax_number": "856-541-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "856-541-8242",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00655500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051985",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093675",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4985401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHGATE FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.