Individual provider Active NPI

Christopher D Kulak, PHARM D

  • Pharmacist
  • Palm Harbor, FL
National Provider Identifier
1659935922
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS55649 Issued in FL
Practice address
31201 US Highway 19 N Ste 1
Palm Harbor, FL 34684-4422
Phone
(727) 772-6868
NPI assigned
Apr 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 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 PS55649 FL Primary

Addresses

Primary practice location

31201 US Highway 19 N Ste 1
Palm Harbor, FL 34684-4422

Mailing address

31201 US Highway 19 N Ste 1
Palm Harbor, FL 34684-4422
Phone (727) 772-6868

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
PS55649FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
King Pharmacy & Compounding LLC Past Accepting new patients

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1659935922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 US HIGHWAY 19 N STE 1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844422",
            "telephone_number": "727-772-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 US HIGHWAY 19 N STE 1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844422",
            "telephone_number": "727-772-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULAK",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS55649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.