Active NPI
Ellen Kaltenbach, PHARM. D.
- Pharmacist
- Rocky Mount, VA
National Provider Identifier
1538764477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202013099
- Practice address
- 970 Franklin St
Rocky Mount, VA 24151-1276 - Phone
- (540) 483-0258
- Fax
- (540) 484-1039
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S011655 | AZ | |
| Pharmacist | 183500000X | 0202013099 | VA | Primary |
Addresses
Primary practice location
970 Franklin St
Rocky Mount, VA 24151-1276
Mailing address
4412 Foothills Rd
Callaway, VA 24067-5402
Phone (540) 420-0633
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S011655 | AZ | MD | Pharmacist |
| 0202013099 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1538764477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 FOOTHILLS RD",
"city": "CALLAWAY",
"state": "VA",
"postal_code": "240675402",
"telephone_number": "540-420-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 FRANKLIN ST",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241511276",
"telephone_number": "540-483-0258",
"fax_number": "540-484-1039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALTENBACH",
"first_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S011655",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202013099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.