Active NPI
Kevin Komoto, PHARM.D.
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1942640974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61292
- Practice address
- 2110 Truxtun Ave Ste 400
Bakersfield, CA 93301-3703 - Phone
- (661) 427-4612
- NPI assigned
- Jul 5, 2013
- Last updated
- Feb 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61292 | CA | Primary |
Addresses
Primary practice location
2110 Truxtun Ave Ste 400
Bakersfield, CA 93301-3703
Mailing address
2110 Truxtun Ave # 400
Bakersfield, CA 93301-3703
Phone (661) 427-4612
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 |
|---|---|---|---|
| 61292 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Pharmacy Solutions, Inc. | Current | Accepting new patients | |
| Avina Health, Inc | Pharmacist | Current | Accepting new patients |
Locations
2110 Truxtun Ave
#400
Bakersfield, CA 93301
Phone (661) 716-2682
2110 Truxtun Ave
Ste 400
Bakersfield, CA 93301
Phone (661) 427-4612
Organizations & group practices 4
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.
-
- Pharmacist
- Delano, CA
- NPI 1366060899
-
- Clinic/Center
- Bakersfield, CA
- NPI 1225558695
-
dba Komoto Medical Pharmacy
- Long Term Care Pharmacy
- Bakersfield, CA
- NPI 1871349563
-
- Long Term Care Pharmacy
- Delano, CA
- NPI 1861229254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1942640974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 TRUXTUN AVE # 400",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013703",
"telephone_number": "661-427-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 TRUXTUN AVE STE 400",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013703",
"telephone_number": "661-427-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMOTO",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.