Healthcare Provider Details

I. General information

NPI: 1124166699
Provider Name (Legal Business Name): BRENT ADAM KALETA PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2007
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 HOSPITAL DR
DUBLIN OH
43016-8463
US

IV. Provider business mailing address

4012 LONGHILL RD
COLUMBUS OH
43220-4847
US

V. Phone/Fax

Practice location:
  • Phone: 614-760-4246
  • Fax: 614-760-4255
Mailing address:
  • Phone: 614-725-7298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03228460
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: