Jacqueline Amanda Kaltenbach, DOCTOR OF PHARMACY

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04271400 Issued in NJ

Practice address

400 Atlantic City Blvd
Bayville, NJ 08721-1223

Phone

(732) 237-7142

Fax

(732) 237-7148

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1184346959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ATLANTIC CITY BLVD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211223",
            "telephone_number": "732-237-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ATLANTIC CITY BLVD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211223",
            "telephone_number": "732-237-7142",
            "fax_number": "732-237-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTENBACH",
        "first_name": "JACQUELINE",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04271400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "400 Atlantic City Blvd",
            "city": "Bayville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087211223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joey'S Quest, LLC
• Reena Jayant Johnson, LCSW, LCADC
• Russell Johnson
• Laurel Jenine Juliano, LCADC, LAP
• Annie Lyn Kalbach, PT, DPT
• Peter Kammerman, D.D.S
• Edmond Osei Kankam
• Matthew Kelly, PTA
• Kelvin Banegas LCSW LLC
• Vani S. Kolipakam, MD

• Pharmacist in Bayville, NJ
• Providers in Bayville, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.