KLEINS OF JACKSONVILLE INC NPI 1215567011

NPI Information

NPI: 1215567011
Provider Name: KLEINS OF JACKSONVILLE INC
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
14330 JARRETTSVILLE PIKE
PHOENIX, MD
ZIP 21131
Phone: (410) 666-1700
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KLEINS OF JACKSONVILLE INC is a clinic pharmacy pharmacy in Phoenix, MD. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. KLEINS OF JACKSONVILLE INC NPI is 1215567011. The provider is registered as an organization entity type.

The provider's business location address is:

14330 JARRETTSVILLE PIKE
PHOENIX, MD
ZIP 21131-743
Phone: (410) 666-1700

The provider's authorized official is Frank Robert Henderson .
The authorized official title is Pharmacy Director and has the following contact phone number (410) 420-8220.

The enumeration date for this NPI number is 1/21/2020 and was last updated on 1/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001843100	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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