Jatin Kukreja

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0016011 Issued in CT

Practice address

55 Park St Ste 1a
New Haven, CT 06511-5474

Phone

(203) 777-7809

NPI assigned

Aug 2, 2022

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • New Haven, CT
  • NPI 1982906632
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1982331864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHESTER ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143429",
            "telephone_number": "860-938-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARK ST STE 1A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115474",
            "telephone_number": "203-777-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKREJA",
        "first_name": "JATIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0016011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Martin Kuehne, MD
• Robert Kuerze
• Aisha Kuforiji
• Angelea Kuipers
• Shqiponja Kuka, PA
• Shannon P Kukulka, APRN
• Kyle David Kulas
• Kaustubh Rajesh Kulkarni, MD, PHD
• Sanjay Kulkarni, MD
• Michal E. Kulon, M.D.

• Pharmacist in New Haven, CT
• Providers in New Haven, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.