GREGORY ALAN KLOB (NPI# 1548603806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548603806 |
| Entity Type | Individual |
| Full Name | GREGORY ALAN KLOB |
| Credential | RPH |
| Practice Address |
12169 Sheridan Blvd Broomfield CO 80020-2459 |
| Practice Telephone | 3034390169 |
| Mailing Telephone | 3034390169 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11491 | CO | Pharmacy Service Providers |
| Street Address |
12169 SHERIDAN BLVD |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003895293 | Ian Sebastian Bach | Family Medicine | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2006-01-16 |
| 1497367213 | Scl Health Medical Group - Denver, LLC | Preventive Medicine | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2020-08-21 |
| 1447785787 | Lauren Thompson | Family Medicine | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2017-04-24 |
| 1053488007 | Matthew Aaron Liebentritt | Family Medicine | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2006-11-28 |
| 1366481707 | Cindy F Vair | Physical Therapist | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2006-06-04 |
| 1225094246 | Timothy M Lewan | Family Medicine | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| 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 |
|---|---|---|---|---|
| 1922579465 | Susan Candace Cruickshank | Pharmacist | 16453 Alcott Pl, Broomfield, CO 80023-8920 | 2018-12-10 |
| 1447776604 | James Cheang | Pharmacist | 557 Burbank St., Suite Q, Broomfield, CO 80219 | 2017-08-19 |
| 1285095521 | Ellen Balkema | Pharmacist | 557 Burbank St Unit Q, Broomfield, CO 80020-7118 | 2016-03-15 |
| 1821464504 | Andrew Michael Gonzales | Pharmacist | 9864 Iris St, Broomfield, CO 80021-4268 | 2015-08-17 |
| 1881011716 | Stacey Amanda Smith | Pharmacist | 4468 Eagle River Run, Broomfield, CO 80023-8753 | 2014-03-28 |
| 1073939229 | Mary E Kliewer | Pharmacist | 13456 Via Varra Unit 209, Broomfield, CO 80020-9027 | 2014-03-12 |
| 1407271083 | Shawn Mitchell Miller | Pharmacist | 223 Berthoud Trl, Broomfield, CO 80020-9677 | 2014-02-19 |
| 1114355401 | Brenda Ochylski | Pharmacist | 4947 Buffalo Grass Loop, Broomfield, CO 80023-4623 | 2013-10-23 |
| 1093158149 | Leminh P Nguyen | Pharmacist | 1150 Us Highway 287, Broomfield, CO 80020-7001 | 2013-04-08 |
| 1619245891 | James Richard Garcia | Pharmacist | 905 Mesa Ct, Broomfield, CO 80020-1834 | 2011-12-02 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on GREGORY ALAN KLOB.
| 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.