Individual provider Active NPI

Kunal B Bhukhan, R.PH

  • Pharmacist
  • Kissimmee, FL
National Provider Identifier
1902143761
Registry record updated Jan 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49821 Issued in FL
Practice address
2338 E Irlo Bronson Memorial Hwy
Publix
Kissimmee, FL 34744-5401
Phone
(407) 846-6141
NPI assigned
Jan 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49821 FL Primary

Addresses

Primary practice location

2338 E Irlo Bronson Memorial Hwy
Publix
Kissimmee, FL 34744-5401

Mailing address

2338 E Irlo Bronson Memorial Hwy
Publix
Kissimmee, FL 34744-5401
Phone (407) 846-6141

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
PS49821FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357948800000",
    "number": "1902143761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 E IRLO BRONSON MEMORIAL HWY",
            "address_2": "PUBLIX",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445401",
            "telephone_number": "407-846-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 E IRLO BRONSON MEMORIAL HWY",
            "address_2": "PUBLIX",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445401",
            "telephone_number": "407-846-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUKHAN",
        "first_name": "KUNAL",
        "middle_name": "B",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-12",
        "last_updated": "2013-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; 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.