Active NPIIndividual providerSole proprietor

Mr. Gary K Kaczka, RPH, CCP

Pharmacist in Somerset, New Jersey

NPI Number1790817534
Practice location
1 Nepote Pl, Somerset, NJ 08873-3478
Fax
732-873-0465
Last updated
July 21, 2022

Gary Keith Kaczka is a Pharmacist based in Somerset, NJ. Gary Keith Kaczka practices in Somerset, NJ and has the professional credentials of RPH, CCP. The NPI Number for Gary Keith Kaczka is 1790817534 and holds a License No. 28RI01937000 (NJ). The current practice location address for Gary Keith Kaczka is 1 Nepote Pl, Somerset, NJ 08873-3478 and can be reached out via phone at 732-208-0415 and via fax at 732-873-0465.

Provider Profile Details

NPI Number
1790817534
Provider Name
Gary Keith Kaczka
Credential
RPH, CCP
Provider Entity Type
Individual
Gender
Male
Address
1 Nepote Pl, Somerset, NJ 08873-3478
Phone Number
732-208-0415
Fax Number
732-873-0465
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
March 9, 2007
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Nepote Pl
Somerset, NJ 08873-3478
Zip
08873-3478
Phone Number
732-208-0415
Fax Number
732-873-0465
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
1 Nepote Pl
Somerset, NJ 08873-3478
City
Somerset
State
NJ
Zip
08873-3478
Phone Number
732-208-0415
Fax Number
732-873-0465

License Information

License Number (1)
28RI01937000
License State (1)
NJ
Taxonomy (1)
Pharmacist · 183500000X · Primary
License State (2)
NJ
Taxonomy (2)
Pharmacist, Geriatric · 1835G0303X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Gary K Kaczka, RPH, CCP?

The NPI number of Mr. Gary K Kaczka, RPH, CCP is 1790817534. It was assigned on March 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Gary K Kaczka, RPH, CCP?

Mr. Gary K Kaczka, RPH, CCP is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI01937000.

Where does Mr. Gary K Kaczka, RPH, CCP practice?

The practice location is 1 Nepote Pl, Somerset, NJ 08873-3478. The office can be reached at 732-208-0415 (phone) or 732-873-0465 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790817534 directly on the NPPES registry website.

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