Individual provider Active NPI

Krishna Desai, RPH

  • Pharmacist
  • Kearny, NJ
National Provider Identifier
1649815218
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04066100 Issued in NJ
Practice address
434 Kearny Ave
Kearny, NJ 07032-2604
Phone
(201) 991-2444
Fax
(201) 991-2447
NPI assigned
Nov 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04066100 NJ Primary

Addresses

Primary practice location

434 Kearny Ave
Kearny, NJ 07032-2604

Mailing address

27 Stratton Rd
Matawan, NJ 07747-6839
Phone (732) 470-9877

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI04066100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
HPD Group Corp Current Accepting new patients

Locations

434 Kearny Ave
Kearny, NJ 07032
Phone (201) 991-2444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1649815218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 STRATTON RD",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077476839",
            "telephone_number": "732-470-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322604",
            "telephone_number": "201-991-2444",
            "fax_number": "201-991-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KRISHNA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04066100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.