Active NPI
Kavita Bahl, PHARM.D
- Pharmacist
- Casselberry, FL
National Provider Identifier
1629348479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS45680
- Practice address
- 955 S Winter Park Dr
Casselberry, FL 32707-5437 - Phone
- (407) 767-7002
- NPI assigned
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS45680 | FL | Primary |
Addresses
Primary practice location
955 S Winter Park Dr
Casselberry, FL 32707-5437
Mailing address
826 Camargo Way
101
Altamonte Springs, FL 32714-3947
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 |
|---|---|---|---|
| PS45680 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1629348479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 CAMARGO WAY",
"address_2": "101",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 S WINTER PARK DR",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075437",
"telephone_number": "407-767-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHL",
"first_name": "KAVITA",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.