Mina Kasdalla

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04265000 Issued in NJ

Practice address

860 Cooper St
Deptford, NJ 08096-2598

Phone

(856) 848-5402

Fax

(856) 848-7549

NPI assigned

Sep 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thrift Drug Inc

  • Community/Retail Pharmacy
  • Hamburg, NJ
  • NPI 1114026341
  NPD (past)
• Thrift Drug Inc

  • Community/Retail Pharmacy
  • Deptford, NJ
  • NPI 1548369754
  NPD (past)

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1760103279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 COOPER ST",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080962598",
            "telephone_number": "856-848-5402",
            "fax_number": "856-848-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 COOPER ST",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080962598",
            "telephone_number": "856-848-5402",
            "fax_number": "856-848-7549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Cooper St",
            "address_purpose": "LOCATION",
            "city": "Deptford",
            "state": "NJ",
            "postal_code": "080962598",
            "country_code": "US",
            "telephone_number": "856-848-5402",
            "fax_number": "856-848-7549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASDALLA",
        "first_name": "MINA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04265000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Riteaid",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "860 Cooper St",
            "city": "Deptford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080962598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Innova Gloucester Deptford Bridge Operations LLC
• Jcapn LLC
• Nicole Jones, PA-C
• JRG Special Holdings, LLC
• Haleema Kamali, DMD
• Pawandeep Kaur
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey
• Mustajab Khalil, DMD
• Aliya Khan, DDS

• Pharmacist in Deptford, NJ
• Providers in Deptford, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.