Burhanuddin Moez Kakal, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHCY-01292 Issued in NH

Practice address

89 NH Route 26
Meredith, NH 03253

Phone

(603) 279-4451

Fax

(603) 279-3060

NPI assigned

Feb 9, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Maxi Drug North Inc

  • Community/Retail Pharmacy
  • Laconia, NH
  • NPI 1275632556
  NPD (past)
• Maxi Drug North Inc

  • Community/Retail Pharmacy
  • Meredith, NH
  • NPI 1679661094
  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1841944741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 NH ROUTE 25",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032536314",
            "telephone_number": "603-279-4551",
            "fax_number": "602-279-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 NH ROUTE 26",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "03253",
            "telephone_number": "603-279-4451",
            "fax_number": "603-279-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAL",
        "first_name": "BURHANUDDIN",
        "middle_name": "MOEZ",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-01292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW HAMPSHIRE BOARD OF PHARMACY - PHARMACIST LICENSE",
            "identifier": "PHCY-01292",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia S Huston, APRN
• Inter-Lakes School District
• Abigail L Johnson
• Jennifer L Johnson, LCMHC
• Kittrina Jones, LMT
• Igor Katsenelenbogen
• Francisca J King
• Norma Kortz
• Lakes Region Visiting Nurse Association
• Lakes Region Visiting Nurse Association

• All providers in Meredith, NH
• Pharmacist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.