MEDICARE: KIMBERLY JELINEK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI02274600	NJ

General Provider Information

NPI Number	:	1679956700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY JELINEK

Provider Business Mailing Address
First Line	:	308 STOTESBURY AVE
Second Line	:
City	:	NEWFIELD
State	:	NJ
Zip	:	08344-9571
Country	:	US
Telephone Number	:	856-207-9839
Fax Number	:

Provider Business Practice Location Address
First Line	:	3007 OCEAN HEIGHTS AVE
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-7749
Country	:	US
Telephone Number	:	609-927-0390
Fax Number	:	609-927-0392

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2015
Last Update Date	:	04/23/2025

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Directions to “ KIMBERLY JELINEK ” Practice Location

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