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1538764477 NPI number — ELLEN KALTENBACH PHARM. D.

NPI Number: 1538764477
Health Care Provider/Practitioner: ELLEN KALTENBACH PHARM. D.

Information about “1538764477” NPI (ELLEN KALTENBACH PHARM. D.) exists in 1538764477 in HTML format HTML  |  1538764477 in plain Text format TXT  |  1538764477 in PDF (Portable Document Format) PDF  |  1538764477 in an XML format XML  formats.

NPI Number : 1538764477 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538764477",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KALTENBACH",
    "FirstName": "ELLEN",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARM. D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4412 FOOTHILLS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CALLAWAY",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24067-5402",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-420-0633",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "970 FRANKLIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKY MOUNT",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24151-1276",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-483-0258",
    "PracticeLocationAddressFaxNumber": "540-484-1039",
    "EnumerationDate": "11/30/2020",
    "LastUpdateDate": "11/30/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "S011655",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "0202013099",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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