Organization Active NPI

Kalman Health & Wellness Inc

Doing business as Essential Wellness Pharmacy 2

  • Community/Retail Pharmacy
  • Peoria, IL
National Provider Identifier
1548496409
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054018933 Issued in IL
Legal business name
KALMAN HEALTH & WELLNESS INC
Doing business as
Essential Wellness Pharmacy 2
Practice address
4625 N University St
Peoria, IL 61614-5828
Phone
(309) 681-8850
Fax
(309) 681-8856
NPI assigned
Jun 5, 2009
Last updated
Aug 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
William Kalman, BSNPI 1255415865
Title
President
Phone
(309) 635-1340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 054018933 IL Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

4625 N University St
Peoria, IL 61614-5828

Mailing address

4625 N University St
Peoria, IL 61614-5828
Phone (309) 681-8850

Other identifiers 1

IdentifierTypeStateIssuer
2153318OtherPK

Other names 1

  • Essential Wellness Pharmacy 2 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1548496409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145828",
            "telephone_number": "309-681-8850",
            "fax_number": "309-681-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145828",
            "telephone_number": "309-681-8850",
            "fax_number": "309-681-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALMAN HEALTH & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "KALMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-635-1340",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018933",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153318",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Wellness Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.