Provider Demographics
NPI:1619783131
Name:KAFLE, PRAKASH (PHARMD)
Entity type:Individual
Prefix:
First Name:PRAKASH
Middle Name:
Last Name:KAFLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 AIDA DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2004
Mailing Address - Country:US
Mailing Address - Phone:614-655-2275
Mailing Address - Fax:
Practice Address - Street 1:1280 AIDA DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2004
Practice Address - Country:US
Practice Address - Phone:614-655-2275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03445020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist