Homam Kador
Individual provider Active NPI Pharmacist · Mahanoy, PA
NPI 1780142869 · NPPES record last updated Mar 7, 2019
Key facts
- NPI
- 1780142869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP453052 (PA)
- Practice address
- 15 West Mahanoy City
Mahanoy, PA 17973 - Phone
- (579) 012-3542
- NPI assigned
- Mar 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP453052 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | RP453052 | PA | Yes |
Addresses
Primary practice location
15 West Mahanoy City
Mahanoy, PA 17973
Mailing address
107 Lilly St Apt 2
Schuylkill Haven, PA 17972-1156
Phone (313) 375-9262
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.