Active NPI
Anatoliy Kagan
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1962816306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP441561
- Practice address
- 8445 Frankford Ave
Philadelphia, PA 19136-2400 - Phone
- (215) 333-0535
- Fax
- (215) 333-6039
- NPI assigned
- Jun 13, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP441561 | PA | Primary |
| Pharmacist | 183500000X | 051.293206 | IL | |
| Pharmacist | 183500000X | 015239 | KY |
Addresses
Primary practice location
8445 Frankford Ave
Philadelphia, PA 19136-2400
Mailing address
8445 Frankford Ave
Philadelphia, PA 19136-2400
Phone (215) 333-0535
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.293206 | IL | MD | Pharmacist |
| 015239 | KY | MD | Pharmacist |
| RP441561 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1962816306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8445 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191362400",
"telephone_number": "215-333-0535",
"fax_number": "215-333-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8445 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191362400",
"telephone_number": "215-333-0535",
"fax_number": "215-333-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "ANATOLIY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP441561",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.293206",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.