Active NPI
Kirti Gupta
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1891064416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP442366
- Practice address
- 4001 Kensington Ave
Philadelphia, PA 19124-4408 - Phone
- (215) 537-2304
- NPI assigned
- Dec 28, 2011
- 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 | RP442366 | PA | Primary |
Addresses
Primary practice location
4001 Kensington Ave
Philadelphia, PA 19124-4408
Mailing address
901 N Penn St
Unit F903
Philadelphia, PA 19123-3132
Phone (267) 258-3445
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 |
|---|---|---|---|
| RP442366 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreens | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1457628752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1891064416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N PENN ST",
"address_2": "UNIT F903",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191233132",
"telephone_number": "267-258-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 KENSINGTON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191244408",
"telephone_number": "215-537-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "KIRTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP442366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.