Individual provider Active NPI

Kasinadh Jasti, B.PHARM

  • Pharmacist
  • Port Huron, MI
National Provider Identifier
1902138241
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302034444 Issued in MI
Practice address
1179 32ND St
Kmart Pharmacy
Port Huron, MI 48060-7363
Phone
(810) 989-7610
Fax
(810) 982-8400
NPI assigned
Feb 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302034444 MI Primary

Addresses

Primary practice location

1179 32ND St
Kmart Pharmacy
Port Huron, MI 48060-7363

Mailing address

1179 32ND St
Kmart Pharmacy
Port Huron, MI 48060-7363
Phone (810) 989-7610

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

LicenseStateTypeSpecialty
5302034444MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1902138241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 32ND ST",
            "address_2": "KMART PHARMACY",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480607363",
            "telephone_number": "810-989-7610",
            "fax_number": "810-982-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 32ND ST",
            "address_2": "KMART PHARMACY",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480607363",
            "telephone_number": "810-989-7610",
            "fax_number": "810-982-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTI",
        "first_name": "KASINADH",
        "credential": "B.PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.