Individual provider Active NPI

Gerald Mark Kaup, RPH

  • Pharmacist
  • Fort Recovery, OH
National Provider Identifier
1891948998
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03113595 Issued in OH
Practice address
110 E Butler St
Fort Recovery, OH 45846-0605
Phone
(419) 375-2323
Fax
(419) 375-4488
NPI assigned
Nov 3, 2008
Last updated
Nov 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03113595 OH Primary

Addresses

Primary practice location

110 E Butler St
Fort Recovery, OH 45846-0605

Mailing address

706 Little Turtle Drive
PO Box 605
Fort Recovery, OH 45846-0605
Phone (419) 375-4552

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

LicenseStateTypeSpecialty
03113595OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaup Pharmacy, Inc. Past Accepting new patients
Kaup Pharmacy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1891948998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 LITTLE TURTLE DRIVE",
            "address_2": "PO BOX 605",
            "city": "FORT RECOVERY",
            "state": "OH",
            "postal_code": "458460605",
            "telephone_number": "419-375-4552",
            "fax_number": "419-375-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BUTLER ST",
            "city": "FORT RECOVERY",
            "state": "OH",
            "postal_code": "458460605",
            "telephone_number": "419-375-2323",
            "fax_number": "419-375-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUP",
        "first_name": "GERALD",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03113595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Recovery, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.