What is Kevin Pultorak's NPI number?

Kevin Pultorak's National Provider Identifier (NPI) is 1093007601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kevin Pultorak's specialty?

Kevin Pultorak is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Kevin Pultorak located?

Kevin Pultorak's practice location on file with NPPES is 6610 Old Monroe Rd, Indian Trail, NC 28079-5351.

What is Kevin Pultorak's phone number?

The practice phone number listed in the NPPES registry for Kevin Pultorak is (704) 289-1193.

Is Kevin Pultorak's NPI active?

Yes — Kevin Pultorak's NPI (1093007601) is active in the NPPES registry as of the last update on 2011-05-15.

IndividualActive

Kevin Pultorak, RPH

NPI 1093007601 · Pharmacist · Indian Trail, NC

Kevin Pultorak, RPH is a Pharmacist provider in Indian Trail, NC (NPI 1093007601).

Provider details

NPI number: 1093007601
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: RPH
Sex: Male
Sole proprietor: No
License: 12512 (NC)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 12512 (NC)
Pharmacy Service Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

6610 Old Monroe Rd

Indian Trail, NC 28079-5351

Phone: (704) 289-1193

Fax: (704) 289-1662

Street-level locationGet directions

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Mailing address