Individual provider Active NPI

Amber Marie Kelkenberg, PHARM.D.

  • Pharmacist
  • Albion, NY
National Provider Identifier
1689953986
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0055853 Issued in NY
Practice address
408 West Ave
Albion, NY 14411-1525
Phone
(585) 589-2611
Fax
(585) 589-2568
NPI assigned
Aug 4, 2011
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0055853 NY Primary

Addresses

Primary practice location

408 West Ave
Albion, NY 14411-1525

Mailing address

7717 Chestnut Ridge Rd
Lockport, NY 14094-3509
Phone (716) 523-7823

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

LicenseStateTypeSpecialty
0055853NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1689953986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 CHESTNUT RIDGE RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943509",
            "telephone_number": "716-523-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WEST AVE",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144111525",
            "telephone_number": "585-589-2611",
            "fax_number": "585-589-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELKENBERG",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0055853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.