KAMAL KOTAICH


Address: 140 S Holly St Ste 1131, Medford, OR 97501-3113
Phone: 8009676816

KAMAL KOTAICH (NPI# 1770059537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770059537
Entity Type Individual
Full Name KAMAL KOTAICH
Practice Address 140 S Holly St Ste 1131
Medford
OR 97501-3113
Practice Telephone 8009676816
Mailing Telephone 8009676816
Enumeration Date 2018-10-19
Last Update Date 2018-10-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RPH-0009624 OR Pharmacy Service Providers

Office Location

Street Address 140 S HOLLY ST STE 1131
City MEDFORD
State OR
Zip Code 97501-3113

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1669012928 One of A Kind Therapy LLC Social Worker 916 West 10th St #205, Medford, OR 97501 2020-01-14
1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1316458813 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 562 Parsons Drive, Suite 114, Medford, OR 97501 2017-10-24
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1992229009 Cassandra Schultz Massage Therapist 824 East Jackson, Suite A, Medford, OR 97501 2017-07-31
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1154706984 Debbie Diane Orr Behavioral Analyst 1024 West 9th Street, Medford, OR 97501 2015-07-22
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386245934 Stephen Choi Pharmacist 12 Blakely Rd, Medford, MA 02155-2409 2020-11-02
1366084592 Michael Kasik Pharmacist 701 Black Oak Dr, Medford, OR 97504-8550 2019-10-09
1316594898 Christ Ange G Katche Pharmacist 21 College Ave Apt 1, Medford, MA 02155-4571 2019-08-20
1295203677 Hajar Taman Pharmacist 2975 Horseblock Road, Medford, NY 11763 2018-11-05
1851778211 Kyle Mason Pharmacist 34 Tallowood Dr, Medford, NJ 08055-9147 2015-05-05
1174931331 Justina Sokolovas Pharmacist 1350 Center Drive, Pharmacy Department, Medford, OR 97501 2014-07-31
1295152759 Marvin Wainwright Pharmacist 5 Wilkins Station Rd, Suite 100, Medford, NJ 08055-9606 2014-03-23
1780008466 Catherine Rimov Pharmacist 4449 Vista Pointe Dr, Medford, OR 97504-8084 2014-02-14
1992141584 Jerry C Hood Pharmacist 2425 Nieto Way, Medford, OR 97504-8577 2013-05-22
1164780318 Brett A. Summers Pharmacist 3528 Lone Pine Rd, Medford, OR 97504 2012-04-25
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Competitor

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City MEDFORD
Zip Code 97501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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