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MR. KEVIN PAUL PULTORAK RPH
NPI 1093007601
Pharmacist in Indian Trail, NC

Active since May 15, 2011
6610 OLD MONROE RD, INDIAN TRAIL, NC 28079(704) 289-1193(704) 289-1662 Get Directions Write a Review

NPPES record last updated: May 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Paul Pultorak Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN PAUL PULTORAK RPH (NPI 1093007601) is an individual pharmacist in Indian Trail, North Carolina, licensed in North Carolina (12512) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1093007601
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KEVIN PAUL PULTORAKCredential: RPH
Location Address6610 OLD MONROE RDIndian Trail, NC 28079-5351
Mailing Address6610 Old Monroe RdIndian Trail, NC 28079-5351 · (704) 289-1193 · Fax (704) 289-1662
Phone(704) 289-1193
Fax(704) 289-1662
Sole ProprietorNo
Enumeration DateMay 15, 2011
✔ NPI 1093007601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NC · 12512
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.
6610 OLD MONROE RD, Indian Trail, NC 28079
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Other Identifiers 1

Medicaid0905555NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW HELMS
Pharmacist
6610 OLD MONROE RD
INDIAN TRAIL, NC 28079
Union County (704) 289-1193
JONATHAN DUCAR B.PHARM
Pharmacist
6610 OLD MONROE RD
INDIAN TRAIL, NC 28079
Union County (704) 289-1193

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Pultorak's NPI number?

The NPI number for Kevin Pultorak is 1093007601. It was assigned to this individual provider in the NPPES registry on May 15, 2011.

Where is Kevin Pultorak located?

Kevin Pultorak practices at 6610 Old Monroe Rd, Indian Trail, NC 28079. The listed phone number is (704) 289-1193.

What is Kevin Pultorak's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kevin Pultorak was last updated on May 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.