Leila S Kutuzova, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04179800 Issued in NJ

Practice address

195 Main St
Chatham, NJ 07928-2405

Phone

(973) 635-6200

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albro Drug Company Inc

  dba Liberty Drug and Surgical

  • Pharmacy
  • Chatham, NJ
  • NPI 1104978097
  NPD

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1891409744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTER ST APT 6",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282405",
            "telephone_number": "973-635-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTUZOVA",
        "first_name": "LEILA",
        "middle_name": "S",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04179800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Clark Inc. Dba Harmony Pediatric Therapy (Harmony Pediatric Therapy)
• Elizabeth Boccella Kubie, OTR/L
• William S Kubis, RPH.
• Medha S Kudaisya
• Jayshree Narsing Kumta, M.D.
• Sapna S Lalla, R.D.
• Brittany Lane
• Heidi Lynn Larga
• Kathy Elizabeth Larkin, LCSW
• Laser & Skin Therapeutics PC

• Pharmacist in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.