Individual provider Active NPI

Klajdi Zeqollari, PHARMD

  • Ambulatory Care Pharmacist
  • Reading, PA
National Provider Identifier
1780384156
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
RP452970 Issued in PA
Practice address
420 S 5TH Ave
Reading, PA 19611-2143
Phone
(484) 628-7426
NPI assigned
Mar 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P2201X RP452970 PA Primary

Addresses

Primary practice location

420 S 5TH Ave
Reading, PA 19611-2143

Mailing address

350 Village Dr Unit 1206
King of Prussia, PA 19406-2087
Phone (484) 881-1526

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP452970PAMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1780384156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 VILLAGE DR UNIT 1206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062087",
            "telephone_number": "484-881-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S 5TH AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196112143",
            "telephone_number": "484-628-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEQOLLARI",
        "first_name": "KLAJDI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RP452970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.