Organization Active NPI

Kelly Kidz Inc

Doing business as Kaplers Pharmacy

  • Community/Retail Pharmacy
  • Beach Haven, NJ
National Provider Identifier
1154478204
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00627200 Issued in NJ
Legal business name
KELLY KIDZ INC
Doing business as
Kaplers Pharmacy
Practice address
1 S Bay Ave
Beach Haven, NJ 08008-1794
Phone
(609) 492-9221
Fax
(609) 492-1453
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Helen Samantha Kelly, RPHNPI 1477528552
Title
Owner
Phone
(609) 492-9221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00627200 NJ Primary

Addresses

Primary practice location

1 S Bay Ave
Beach Haven, NJ 08008-1794

Mailing address

1 S Bay Ave
Beach Haven, NJ 08008-1794
Phone (609) 492-9221

Other identifiers 3

IdentifierTypeStateIssuer
2058629OtherPK
0037419MedicaidNJ
4392701MedicaidNJ

Other names 1

  • KAPLERS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150121000137 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 1052528726 Practice locations: Beach Haven, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1154478204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S BAY AVE",
            "city": "BEACH HAVEN",
            "state": "NJ",
            "postal_code": "080081794",
            "telephone_number": "609-492-9221",
            "fax_number": "609-492-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S BAY AVE",
            "city": "BEACH HAVEN",
            "state": "NJ",
            "postal_code": "080081794",
            "telephone_number": "609-492-9221",
            "fax_number": "609-492-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY KIDZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-492-9221",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00627200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058629",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037419",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4392701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAPLERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KAPLERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beach Haven, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.