Active NPI
Kalibat Drug Store
- Pharmacy
- Newark, NJ
National Provider Identifier
1740349745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00441700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3120336 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 4283805 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Newark, NJ
- NPI 1891489779
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.