Phyllis Kamta-Mutah, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP452599 Issued in PA

Practice address

1457 8TH Ave
Bethlehem, PA 18018-2256

Phone

(610) 861-0152

NPI assigned

Dec 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Bethlehem, PA
  • NPI 1497859235
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1942806476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 STONECREEK CT",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457480",
            "telephone_number": "862-252-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "610-861-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMTA-MUTAH",
        "first_name": "PHYLLIS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shweta Rakesh Kadakia, LCSW
• Sarada Kadewari, M.D
• Hazeka Kadri
• Sara Kahler
• Courtney Ann Kalamar
• Reena V Kanabar, M.D.
• Colin Joseph Kanach, M.D.
• Sachinkumar Basavaraj Kanagali, M D
• Gangaiah Chowdary Kanakamedala, M.D.
• Patricia Faye Kandle, MD

• Pharmacist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.