JOSEPH KLECAN (NPI# 1366726648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366726648 |
Entity Type | Individual |
Full Name | JOSEPH KLECAN |
Credential | PHARMD |
Practice Address |
1751 Tiny Town Rd Clarksville TN 37042-7632 |
Mailing Address |
3802 Mcallister Dr Clarksville TN 37042-4892 |
Practice Telephone | 9315527464 |
Mailing Telephone | 9318012503 |
Enumeration Date | 2011-10-04 |
Last Update Date | 2011-10-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 34513 | TN | Pharmacy Service Providers |
Street Address |
1751 TINY TOWN RD |
City | CLARKSVILLE |
State | TN |
Zip Code | 37042-7632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761764 | Amy Tidwell | Pharmacist | 1751 Tiny Town Rd, Clarksville, TN 37042-7632 | 2020-08-18 |
1174891485 | Lindsey Berry Anderson | Pharmacist | 1751 Tiny Town Rd, Clarksville, TN 37042-7632 | 2011-12-01 |
1366729824 | Melissa Shelton | Pharmacist | 1751 Tiny Town Rd, Clarksville, TN 37042-7632 | 2011-11-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
Find all providers in zip 37042 |
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 |
---|---|---|---|---|
1780294553 | Widad H Mohammed | Pharmacist | 6383 Ten Oaks Rd, Clarksville, MD 21029-1104 | 2020-08-05 |
1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
1366918120 | Tbony Marie Jewell | Pharmacist | 588 Fire Station Rd Ste F, Clarksville, TN 37043-4091 | 2018-10-19 |
1528589280 | Laura Kaitlyn Thomason | Pharmacist | 2896 Sharpie Dr, Clarksville, TN 37040-9509 | 2017-07-03 |
1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
1417320367 | Tae Seung Oh | Pharmacist | 5301 Aerie Ct, Clarksville, MD 21029-1103 | 2015-11-01 |
1144610809 | Whitney Dulin | Pharmacist | 2197 Madison St Ste 109, Clarksville, TN 37043-5253 | 2015-02-02 |
1811301161 | Elizabeth Okang | Pharmacist | 11809 Chapel Woods Ct, Clarksville, MD 21029-1117 | 2014-06-15 |
1396086856 | Chiyon Lee | Pharmacist | 6321 Kerne Ct, Clarksville, MD 21029-1558 | 2013-03-08 |
1366707424 | Lopa B Patel | Pharmacist | 7319 Meadow Wood Way, Clarksville, MD 21029-1727 | 2012-07-05 |
Find all providers in CLARKSVILLE |
City | CLARKSVILLE |
Zip Code | 37042 |
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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.