Active NPI
Kaleena Enany, PHARMD
- Pharmacist
- Los Alamitos, CA
National Provider Identifier
1912324260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70562
- Practice address
- 11270 Los Alamitos Blvd
Los Alamitos, CA 90720-3958 - Phone
- (562) 596-2729
- NPI assigned
- Mar 25, 2014
- Last updated
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28R103585300 | NJ | |
| Pharmacist | 183500000X | 058977 | NY | |
| Pharmacist | 183500000X | PCT.0012798 | CT | |
| Pharmacist | 183500000X | 70562 | CA | Primary |
Addresses
Primary practice location
11270 Los Alamitos Blvd
Los Alamitos, CA 90720-3958
Mailing address
11270 Los Alamitos Blvd
Los Alamitos, CA 90720-3958
Phone (562) 596-2729
Other practice location 1
91 Main St
New Canaan, CT 06840-4757
Phone (203) 966-4575
Other names 1
- Kaleena Johnson
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70562 | CA | MD | Pharmacist |
| PCT.0012798 | CT | MD | Pharmacist |
| 28R103585300 | NJ | MD | Pharmacist |
| 058977 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garlo Corp | Past | Accepting new patients |
Organizations & group practices 1
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": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1912324260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11270 LOS ALAMITOS BLVD",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203958",
"telephone_number": "562-596-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11270 LOS ALAMITOS BLVD",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203958",
"telephone_number": "562-596-2729"
}
],
"practiceLocations": [
{
"address_1": "91 Main St",
"address_purpose": "LOCATION",
"city": "New Canaan",
"state": "CT",
"postal_code": "068404757",
"country_code": "US",
"telephone_number": "203-966-4575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENANY",
"first_name": "KALEENA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28R103585300",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058977",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0012798",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KALEENA",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.