Active NPI
Karen Kaetzel, CPHT
- Pharmacy Technician
- Bloomingdale, NJ
National Provider Identifier
1154915106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 28RW03704500
- Practice address
- 132 Main St
Bloomingdale, NJ 07403-1672 - Phone
- (973) 838-0003
- NPI assigned
- Feb 21, 2021
- Last updated
- Feb 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 28RW03704500 | NJ | Primary |
Addresses
Primary practice location
132 Main St
Bloomingdale, NJ 07403-1672
Mailing address
1603 Rte 23 Apt 5
Butler, NJ 07405-1810
Phone (862) 377-8577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RW03704500 | NJ | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613865600000",
"number": "1154915106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 RTE 23 APT 5",
"city": "BUTLER",
"state": "NJ",
"postal_code": "074051810",
"telephone_number": "862-377-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 MAIN ST",
"city": "BLOOMINGDALE",
"state": "NJ",
"postal_code": "074031672",
"telephone_number": "973-838-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAETZEL",
"first_name": "KAREN",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-21",
"last_updated": "2021-02-21",
"certification_date": "2021-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NJ",
"license": "28RW03704500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.