Individual provider Active NPI

Allan I Kart, RPH

  • Pharmacist
  • Kingsland, GA
National Provider Identifier
1740300771
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH022753 Issued in GA
Practice address
1351 Boone Avenue Ext E
Kingsland, GA 31548-6515
Phone
(912) 729-6450
NPI assigned
Mar 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH022753 GA Primary

Addresses

Primary practice location

1351 Boone Avenue Ext E
Kingsland, GA 31548-6515

Mailing address

96190 Long Beach Dr
Fernandina Beach, FL 32034-8719
Phone (904) 548-1142

Other identifiers 1

IdentifierTypeStateIssuer
00641539HMedicaidGA

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
RPH022753GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740300771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96190 LONG BEACH DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320348719",
            "telephone_number": "904-548-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 BOONE AVENUE EXT E",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486515",
            "telephone_number": "912-729-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KART",
        "first_name": "ALLAN",
        "middle_name": "I",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00641539H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.