Individual provider Active NPI

Jaclyn Kilian

  • Pharmacist
  • Cherry Hill, NJ
National Provider Identifier
1396368445
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04030200 Issued in NJ
Practice address
100 Springdale Rd
Cherry Hill, NJ 08003-3300
Phone
(856) 428-5909
NPI assigned
May 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04030200 NJ Primary

Addresses

Primary practice location

100 Springdale Rd
Cherry Hill, NJ 08003-3300

Mailing address

100 Springdale Rd
Cherry Hill, NJ 08003-3300

Other practice location 1

1945 NJ-33
Neptune, NJ 00775
Phone (732) 755-5500

Other practice location 2

160 Frelinghuysen Rd
Piscataway, NJ 08854-8020
Phone (848) 445-2675

Other practice location 3

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaclyn.keene@hackensackmeridian.org Direct

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

LicenseStateTypeSpecialty
28RI04030200NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1590278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1396368445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033300",
            "telephone_number": "856-428-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 NJ-33",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "00775",
            "country_code": "US",
            "telephone_number": "732-755-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Frelinghuysen Rd",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088548020",
            "country_code": "US",
            "telephone_number": "848-445-2675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILIAN",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-24",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04030200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaclyn.keene@hackensackmeridian.org",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1945 Route 33",
            "city": "Neptune",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077534859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.