QKKP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00755700 Issued in NJ

Legal business name

QKKP

Doing business as

Live Smart Pharmacy

Practice address

6101 Kennedy Blvd
North Bergen, NJ 07047-3441

Phone

(201) 854-0800

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Kirtan PatelNPI 1750709143

Title

Member

Phone

(724) 971-7867

Specialties & licenses 1

Addresses

Other names 1

• Live Smart Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirtan Patel, MD

  • Psychiatry Physician
  • Massillon, OH
  • NPI 1750709143
  NPD Authorized official

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1841728003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473441",
            "telephone_number": "201-854-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QKKP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KIRTAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "724-971-7867"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00755700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Smart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Siobhan Prasad
• Premier Brain and Spine LLC (A&A Pain and Spine Institute)
• Premier Rehab-LLC
• Kaitlyn Paige Probasco, PA-C
• Harry Qi, DO
• Sophia Minh Quach
• Jennifer Quick, LMSW
• Khristina Raess, PHD
• Sereen Rafee, DPM
• Said Rahim, DMD

• Community/Retail Pharmacy in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.