Active NPI
Jennifer Lynn Kulak
- Pharmacist
- Levittown, PA
National Provider Identifier
1710329172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP447741
- Practice address
- 6912 New Falls Rd
Levittown, PA 19057-2410 - Phone
- (215) 949-3052
- Fax
- (215) 949-3954
- NPI assigned
- Jul 25, 2013
- 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 | RP447741 | PA | Primary |
Addresses
Primary practice location
6912 New Falls Rd
Levittown, PA 19057-2410
Mailing address
6912 New Falls Rd
Levittown, PA 19057-2410
Phone (215) 949-3052
Other practice location 1
1 Summit Square
Suite a
Langhorne, PA 19047
Phone (215) 968-4656
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP447741 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534636800000",
"number": "1710329172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6912 NEW FALLS RD",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190572410",
"telephone_number": "215-949-3052",
"fax_number": "215-949-3954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6912 NEW FALLS RD",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190572410",
"telephone_number": "215-949-3052",
"fax_number": "215-949-3954"
}
],
"practiceLocations": [
{
"address_1": "1 SUMMIT SQUARE",
"address_2": "SUITE A",
"address_purpose": "LOCATION",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "19047",
"country_code": "US",
"telephone_number": "215-968-4656",
"fax_number": "215-968-8576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULAK",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-25",
"last_updated": "2018-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP447741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.