Active NPI
Stephen Kielbasa
- Pharmacist
- Vineland, NJ
National Provider Identifier
1881005106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI 02870300
- Practice address
- 20 Howard St
Vineland, NJ 08360-4817 - Phone
- (609) 501-2988
- NPI assigned
- May 9, 2014
- Last updated
- May 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI 02870300 | NJ | Primary |
| Pharmacist | 183500000X | RP031527L | PA |
Addresses
Primary practice location
20 Howard St
Vineland, NJ 08360-4817
Mailing address
20 Howard St
Vineland, NJ 08360-4817
Phone (609) 501-2988
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI 02870300 | NJ | MD | Pharmacist |
| RP031527L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1881005106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HOWARD ST",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083604817",
"telephone_number": "609-501-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOWARD ST",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083604817",
"telephone_number": "609-501-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELBASA",
"first_name": "STEPHEN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-09",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI 02870300",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP031527L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.