Gary Keith Kaczka, R.PH, CCP

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01937000 Issued in NJ

Practice address

1 Nepote PL
Somerset, NJ 08873-3478

Phone

(732) 208-0415

Fax

(732) 873-0465

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790817534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NEPOTE PL",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733478",
            "telephone_number": "732-208-0415",
            "fax_number": "732-873-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NEPOTE PL",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733478",
            "telephone_number": "732-208-0415",
            "fax_number": "732-873-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZKA",
        "first_name": "GARY",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "R.PH, CCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01937000",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Joyce
• Chantel Joyner-Rogers, REGISTERED NURSE
• Sunit Kabaria, MD
• Hawa Bonbon Kabba
• Suzanne M Kabis, M.D.
• Maha K Kaga, D.M.D.
• Manu Kakar
• Anthony Kallini
• Jacqueline Kamel
• Martin Alan Kaminker, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.