Active NPI
Kaitlin Kulusich, RPH
- Pharmacist
- Niles, OH
National Provider Identifier
1851996706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03236784
- Practice address
- 5555 Youngstown Warren Rd
Niles, OH 44446-4804 - Phone
- (330) 505-9463
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- 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 | 03236784 | OH | Primary |
Addresses
Primary practice location
5555 Youngstown Warren Rd
Niles, OH 44446-4804
Mailing address
9677 Hunt Club TRL NE
Warren, OH 44484-1700
Phone (330) 506-9321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03236784 | Other | OH | REGISTERED PHARMACIST LICENSE NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03236784 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1851996706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9677 HUNT CLUB TRL NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444841700",
"telephone_number": "330-506-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 YOUNGSTOWN WARREN RD",
"city": "NILES",
"state": "OH",
"postal_code": "444464804",
"telephone_number": "330-505-9463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULUSICH",
"first_name": "KAITLIN",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03236784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST LICENSE NUMBER",
"identifier": "03236784",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.