Individual provider Active NPI

Kartika Singpraseuth, PHARMD

  • Pharmacist
  • Meridian, ID
National Provider Identifier
1578859245
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P5239 Issued in ID
Practice address
3301 W Cherry LN
Meridian, ID 83642-1119
Phone
(208) 884-5475
Fax
(208) 887-7876
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P5239 ID Primary

Addresses

Primary practice location

3301 W Cherry LN
Meridian, ID 83642-1119

Mailing address

3301 W Cherry LN
Meridian, ID 83642-1119
Phone (208) 884-5475

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
P5239IDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1578859245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421119",
            "telephone_number": "208-884-5475",
            "fax_number": "208-887-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421119",
            "telephone_number": "208-884-5475",
            "fax_number": "208-887-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGPRASEUTH",
        "first_name": "KARTIKA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.