Individual provider Active NPI

Maruta Anna Kokinda

  • Pharmacist
  • West Hazleton, PA
National Provider Identifier
1902376403
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP028599L Issued in PA
Practice address
100 Weis LN
West Hazleton, PA 18202-1207
Phone
(570) 455-6670
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP028599L PA Primary

Addresses

Primary practice location

100 Weis LN
West Hazleton, PA 18202-1207

Mailing address

100 Weis LN
West Hazleton, PA 18202-1207
Phone (570) 455-6670

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
RP028599LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Weis Markets Inc Past Accepting new patients
Weis Markets 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1902376403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEIS LN",
            "city": "WEST HAZLETON",
            "state": "PA",
            "postal_code": "182021207",
            "telephone_number": "570-455-6670",
            "fax_number": "570-455-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEIS LN",
            "city": "WEST HAZLETON",
            "state": "PA",
            "postal_code": "182021207",
            "telephone_number": "570-455-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKINDA",
        "first_name": "MARUTA",
        "middle_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP028599L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.