Individual provider Active NPI

Jack Kalmus, BS PHARMACY

  • Pharmacist
  • Browns Mills, NJ
National Provider Identifier
1790056653
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01991500 Issued in NJ
Practice address
37 Juliustown Rd
Browns Mills, NJ 08015-3627
Phone
(609) 893-3191
NPI assigned
Jan 24, 2012
Last updated
Jan 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01991500 NJ Primary

Addresses

Primary practice location

37 Juliustown Rd
Browns Mills, NJ 08015-3627

Mailing address

947 Meredith Dr
Toms River, NJ 08753-3941
Phone (732) 270-2380

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
28RI01991500NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of New Jersey Inc Past Accepting new patients
Rite Aid of New Jersey Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1790056653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 MEREDITH DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533941",
            "telephone_number": "732-270-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 JULIUSTOWN RD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080153627",
            "telephone_number": "609-893-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMUS",
        "first_name": "JACK",
        "name_prefix": "Mr.",
        "credential": "BS PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01991500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Browns Mills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.