KLEINS OF JACKSONVILLE INC (NPI# 1215567011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215567011 |
| Entity Type | Organization |
| Organization Name | KLEINS OF JACKSONVILLE INC |
| Practice Address |
14330 Jarrettsville Pike Phoenix MD 21131-1743 |
| Mailing Address |
2101 Rock Spring Rd Forest Hill MD 21050-2617 |
| Practice Telephone | 4106661700 |
| Mailing Telephone | 4104208224 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | FRANK ROBERT HENDERSON (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 4104208220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 001843100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558478750 | Kleins of Jacksonville Inc | Pharmacy | 14330 Jarrettsville Pike, Phoenix, MD 21131-1743 | 2006-08-24 |
| Street Address |
14330 JARRETTSVILLE PIKE |
| City | PHOENIX |
| State | MD |
| Zip Code | 21131-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558478750 | Kleins of Jacksonville Inc | Pharmacy | 14330 Jarrettsville Pike, Phoenix, MD 21131-1743 | 2006-08-24 |
| 1922561067 | Hong Rosado | Pharmacist | 14330 Jarrettsville Pike, Phoenix, MD 21131-1743 | 2019-04-06 |
| 1861951345 | Nicole Neukum | Pharmacist | 14330 Jarrettsville Pike, Phoenix, MD 21131-1743 | 2019-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114118387 | Mina Kirkova | Social Worker | 3009 Jackson Ridge Ct, Phoenix, MD 21131 | 2007-08-05 |
| 1629101381 | Kenneth Barry Sharoff | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131 | 2007-03-13 |
| 1508999798 | Nancy Lee Sharoff | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131 | 2007-03-14 |
| 1093977134 | Amy Ruth Rakusin | Counselor | 10 Cross Creek Ct, Phoenix, MD 21131-1000 | 2008-06-30 |
| 1932493616 | Kenneth Sharoff, Phd Inc. | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131-1000 | 2011-05-31 |
| 1063608735 | Catherine Anderson North | Radiology | 1410 Phoenix Rd W, Phoenix, MD 21131-1024 | 2007-09-17 |
| 1528482643 | Charles Warnke | Speech-Language Pathologist | 13 Stonewood Ct, Phoenix, MD 21131-1116 | 2014-02-10 |
| 1699259580 | Keith Dibenedetto | Nurse Practitioner | 2617 Stockton Rd, Phoenix, MD 21131-1117 | 2018-09-18 |
| 1952775694 | Aileen Mccausland | Occupational Therapy Assistant | 2515 Stockton Rd, Phoenix, MD 21131-1127 | 2015-11-18 |
| 1124309430 | Amanda Brady Watters Gorman | Registered Nurse | 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 | 2011-08-31 |
| Find all providers in zip 21131 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467630012 | Mountain Park Health Center | Pharmacy | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2008-02-06 |
| 1578741120 | Mountain Park Health Center | Pharmacy | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 | 2008-02-06 |
| 1497848824 | Banner Health | Pharmacy | 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 | 2006-09-30 |
| 1598867996 | Banner Health | Pharmacy | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698257 | Medventure Partners LLC | Pharmacy | 4000 Mitchellville Rd Ste 406, Bowie, MD 20716-3104 | 2020-01-09 |
| 1922585082 | Kduse Ragassa | Pharmacy | 1100 Mercantile Ln Ste 135a, Upper Marlboro, MD 20774-5367 | 2018-07-22 |
| 1487154225 | The Johns Hopkins Hospital | Pharmacy | 201 N. Broadway, Suite G-1015, Baltimore, MD 21287-2128 | 2018-02-19 |
| 1952624330 | Pharmacare At Mt Claire LLC | Pharmacy | 1251 W Pratt St, Baltimore, MD 21223-2665 | 2010-03-12 |
| 1295989325 | Xpressmedcare LLC | Pharmacy | 13671 Georgia Ave, Silver Spring, MD 20906-5214 | 2008-11-17 |
| 1821203555 | Metro Treatment of Maryland, Lp | Pharmacy | 16110 Everly Rd, Hagerstown, MD 21740-2384 | 2007-05-14 |
| 1942368162 | State of Maryland | Pharmacy | Campus Dr Bldg 140, University of Maryland, College Park, MD 20742-0001 | 2006-12-04 |
| 1689774648 | Peoples Community Health Centers | Pharmacy | 3013 Greenmount Ave, Baltimore, MD 21218-3939 | 2006-09-22 |
| 1417560962 | Crowns Pharmacy LLC | Pharmacy | 9705 Fort Meade Rd, Laurel, MD 20707-4405 | 2020-08-25 |
| 1679103469 | Kleins of Aberdeen Inc | Pharmacy | 949 Beards Hill Rd, Aberdeen, MD 21001-1734 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KLEINS OF JACKSONVILLE INC.
| 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.