Provider Demographics
NPI:1083918809
Name:KASMANI INVESTMENTS LLC
Entity Type:Organization
Organization Name:KASMANI INVESTMENTS LLC
Other - Org Name:DOVER COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KASMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-422-9691
Mailing Address - Street 1:1035 S GOVERNORS AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-6901
Mailing Address - Country:US
Mailing Address - Phone:302-724-9323
Mailing Address - Fax:302-724-6932
Practice Address - Street 1:1035 S GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-6901
Practice Address - Country:US
Practice Address - Phone:302-724-9323
Practice Address - Fax:302-724-6932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-08
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
DEA3-00009293336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1083918809Medicaid
2128434OtherPK
2128434OtherPK