Individual provider Active NPI

Richard Kalck, R.PH.

  • Pharmacist
  • East Brunswick, NJ
National Provider Identifier
1396913158
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01679200 Issued in NJ
Practice address
647 Highway 18
East Brunswick, NJ 08816-3747
Phone
(732) 651-8611
Fax
(732) 432-7746
NPI assigned
Feb 14, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01679200 NJ Primary

Addresses

Primary practice location

647 Highway 18
East Brunswick, NJ 08816-3747

Mailing address

647 Highway 18
East Brunswick, NJ 08816-3747
Phone (732) 651-8611

Other identifiers 1

IdentifierTypeStateIssuer
28RI01679200OtherNJN.J. ATTORNEY GENERAL

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01679200NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1396913158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 HIGHWAY 18",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163747",
            "telephone_number": "732-651-8611",
            "fax_number": "732-432-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 HIGHWAY 18",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163747",
            "telephone_number": "732-651-8611",
            "fax_number": "732-432-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALCK",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01679200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.J. ATTORNEY GENERAL",
            "identifier": "28RI01679200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.