MR. JOHN CHARLES KLUCZNY (NPI# 1013046796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013046796 |
| Entity Type | Individual |
| Full Name | MR. JOHN CHARLES KLUCZNY |
| Credential | RPH |
| Practice Address |
1305 1st Ave Sw Austin MN 55912-1601 |
| Mailing Address |
1007 16th St Sw Austin MN 55912-1717 |
| Practice Telephone | 5074334586 |
| Practice Fax Number | 5074337003 |
| Mailing Telephone | 5074371479 |
| Mailing Fax Number | 5074337003 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 112349-4 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN PHARMACIST LICENSE # | 112349-4 | 01 |
| Street Address |
1305 1ST AVE SW |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750367280 | Jill Lorraine Chao | Advanced Practice Midwife | 1305 1st Ave Sw, Austin, MN 55912-1601 | 2005-12-16 |
| 1194332403 | Astrup Drug Inc | Pharmacy | 1305 1st Ave Sw, Austin, MN 55912-1601 | 2020-09-30 |
| 1346861549 | Crystal Ann Vaniperen | Pharmacist | 1305 1st Ave Sw, Austin, MN 55912-1601 | 2020-04-29 |
| 1578198321 | Thomas J Michels | Pharmacist | 1305 1st Ave Sw, Austin, MN 55912-1601 | 2020-03-11 |
| 1396180444 | Smart Clinic, P.C. | Family Medicine | 1305 1st Ave Sw, Austin, MN 55912-1601 | 2013-05-02 |
| 1790024891 | Astrup Drug, Inc. | Family Medicine | 1305 1st Ave Sw, Austin, MN 55912-1601 | 2013-02-08 |
| 1174653257 | John A Skaar | Pharmacist | 1305 1st Ave Sw, Austin, MN 55912-1601 | 2007-03-06 |
| 1811932346 | Astrup Drug Inc | Pharmacy | 1305 1st Ave Sw, Austin, MN 55912-1601 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780230 | Han Nguyen | Pharmacist | 12900 N Interstate 35 Ste 5, Austin, TX 78753-1054 | 2020-11-03 |
| 1164022620 | Casey Nicole Franklin | Pharmacist | 13201 N Fm 620 Rd, Austin, TX 78717-1011 | 2020-10-26 |
| 1811595648 | Lisa Nguyen | Pharmacist | 6908 Colorado Bluffs Rd, Austin, TX 78744-3330 | 2020-10-14 |
| 1184231680 | Caroline Nguyen | Pharmacist | 12900 N Ih 35, Austin, TX 78753-1049 | 2020-09-29 |
| 1063028074 | Deepika Mcconnell | Pharmacist | 2102 Peach Tree St, Austin, TX 78704-2843 | 2020-09-16 |
| 1982218004 | Cassey Gracey | Pharmacist | 3201 Bee Caves Rd Ste 132, Austin, TX 78746-6777 | 2020-09-04 |
| 1518579440 | Cassandra Castillo | Pharmacist | 5908 Daly Dr, Austin, TX 78747-4101 | 2020-08-21 |
| 1194336834 | Shalini Tripathi | Pharmacist | 11506 Heathrow Dr, Austin, TX 78759-4428 | 2020-08-15 |
| 1528682986 | Charlotte C Boyce | Pharmacist | 4150 Freidrich Ln Ste I, Austin, TX 78744-1052 | 2020-06-02 |
| 1295356723 | Victoria Tackett | Pharmacist | 12005 Bee Caves Rd Ste 1a, Austin, TX 78738-6387 | 2020-05-06 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.