Individual provider Active NPI

Paramdeep Kaeley, PHARM.D

  • Pharmacist
  • Modesto, CA
National Provider Identifier
1952773905
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50684 Issued in CA
Practice address
3020 Floyd Ave
Suite 139
Modesto, CA 95355-9637
Phone
(209) 551-6030
NPI assigned
Oct 28, 2015
Last updated
Mar 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50684 CA Primary
Pharmacist 183500000X 26023030A IN

Addresses

Primary practice location

3020 Floyd Ave
Suite 139
Modesto, CA 95355-9637

Mailing address

3020 Floyd Ave
Suite 139
Modesto, CA 95355-9637
Phone (209) 551-6030

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

LicenseStateTypeSpecialty
26023030AINMDPharmacist
50684CAMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleys 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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1952773905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 FLOYD AVE",
            "address_2": "SUITE 139",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559637",
            "telephone_number": "209-551-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 FLOYD AVE",
            "address_2": "SUITE 139",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559637",
            "telephone_number": "209-551-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAELEY",
        "first_name": "PARAMDEEP",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "50684",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26023030A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.