=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245986876
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KAVISH PRAJAPATI INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/22/2022
-----------------------------------------------------
Last Update Date | 08/21/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3045 WILSON RD
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93304-5317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-412-7701
-----------------------------------------------------
Fax | 661-412-7702
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3045 WILSON RD
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93304-5317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-412-7701
-----------------------------------------------------
Fax | 661-412-7702
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | KRISHNA PRAJAPATI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 661-412-7701
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------