Organization Active NPI

Kalibat Drug Store

  • Pharmacy
  • Newark, NJ
National Provider Identifier
1740349745
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00441700 Issued in NJ
Legal business name
KALIBAT DRUG STORE
Practice address
199 Ferry St
Newark, NJ 07105-2711
Phone
(973) 589-6387
Fax
(973) 589-6387
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Frank Kalibat
Title
Owner
Phone
(973) 589-6387

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 28RS00441700 NJ Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

199 Ferry St
Newark, NJ 07105-2711

Mailing address

199 Ferry St
Newark, NJ 07105-2711

Other identifiers 2

IdentifierTypeStateIssuer
3120336OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4283805MedicaidNJ

National Provider Directory

National Provider Directory

Locations

199 Ferry St
Newark, NJ 07105
Phone (973) 589-6387

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1740349745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052711",
            "telephone_number": "973-589-6387",
            "fax_number": "973-589-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIBAT DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KALIBAT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-589-6387"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00441700",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3120336",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4283805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.