Healthcare Provider Details

I. General information

NPI: 1679499834
Provider Name (Legal Business Name): ELISJANA KALEMASI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 WOODLAND AVE
PLAINFIELD NJ
07060-3327
US

IV. Provider business mailing address

1161 WOODLAND AVE
PLAINFIELD NJ
07060-3327
US

V. Phone/Fax

Practice location:
  • Phone: 347-573-7519
  • Fax:
Mailing address:
  • Phone: 347-573-7519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number072352
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: