Active NPI
Trista Kaltenbach, PHARMD
- Pharmacist
- Omaha, NE
National Provider Identifier
1871112763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16584
- Practice address
- 4001 N 132ND St
Omaha, NE 68164-1839 - Phone
- (605) 205-0603
- NPI assigned
- Apr 11, 2020
- Last updated
- Apr 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6730 | SD | |
| Pharmacist | 183500000X | 23792 | IA | |
| Pharmacist | 183500000X | 16584 | NE | Primary |
Addresses
Primary practice location
4001 N 132ND St
Omaha, NE 68164-1839
Mailing address
506 N 2ND St
Beresford, SD 57004-1406
Phone (605) 205-0603
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6730 | SD | MD | Clinical Social Worker |
| 23792 | IA | MD | Pharmacist |
| 16584 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586563200000",
"number": "1871112763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 N 2ND ST",
"city": "BERESFORD",
"state": "SD",
"postal_code": "570041406",
"telephone_number": "605-205-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 N 132ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681641839",
"telephone_number": "605-205-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALTENBACH",
"first_name": "TRISTA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-11",
"last_updated": "2020-04-11",
"certification_date": "2020-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "6730",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23792",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "16584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.