Individual provider Active NPI

Kathleen M Kokoski, RPH

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1740566348
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PA-RP041066L Issued in PA
Practice address
130 Enterprise Dr
Pittsburgh, PA 15275-1213
Phone
(412) 413-8271
Fax
(877) 231-8302
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PA-RP041066L PA Primary

Addresses

Primary practice location

130 Enterprise Dr
Pittsburgh, PA 15275-1213

Mailing address

130 Enterprise Dr
Walgreens Specialty Pharmacy
Pittsburgh, PA 15275-1213
Phone (412) 413-8271

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
PA-RP041066LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1740566348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ENTERPRISE DR",
            "address_2": "WALGREENS SPECIALTY PHARMACY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751213",
            "telephone_number": "412-413-8271",
            "fax_number": "877-231-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ENTERPRISE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751213",
            "telephone_number": "412-413-8271",
            "fax_number": "877-231-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKOSKI",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PA-RP041066L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.