Active NPI
Collins Evans Kabuthia
- Pharmacist
- Methuen, MA
National Provider Identifier
1841945516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH240655
- Practice address
- 14 Jackson St
Methuen, MA 01844-5014 - Phone
- (978) 681-7607
- NPI assigned
- Feb 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH240655 | MA | Primary |
Addresses
Primary practice location
14 Jackson St
Methuen, MA 01844-5014
Mailing address
14 Jackson St
Methuen, MA 01844-5014
Phone (978) 681-7607
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH240655 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1841945516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 JACKSON ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445014",
"telephone_number": "978-681-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 JACKSON ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445014",
"telephone_number": "978-681-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABUTHIA",
"first_name": "COLLINS",
"middle_name": "EVANS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.