Jan Renee Kalk, RPH
Individual provider Active NPI Pharmacist · Paoli, IN
NPI 1972103786 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1972103786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26017238A (IN)
- Practice address
- 735 N Gospel St
Paoli, IN 47454-1419 - Phone
- (812) 723-3944
- NPI assigned
- Oct 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26017238A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past |
Accepting new patients | |
| Wal-Mart Stores East, LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26017238A | IN | Yes |
Addresses
Primary practice location
735 N Gospel St
Paoli, IN 47454-1419
Mailing address
5868 W Rilla Mae Rd
Taswell, IN 47175-7123
Phone (812) 613-0629
Other names
- Ms. Jan Renee Eckerle
Other providers in Paoli, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.