NPIMap

Organization Active NPI

Kleins Festival at Bel Air Inc

Doing business as Klein's Shoprite Pharmacy #549

  • Community/Retail Pharmacy
  • Bel Air, MD
National Provider Identifier
1013025717
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P01541 Issued in MD
Legal business name
KLEINS FESTIVAL AT BEL AIR INC
Doing business as
Klein's Shoprite Pharmacy #549
Practice address
5 Bel Air South Pkwy Ste 301
Bel Air, MD 21015-6087
Phone
(443) 512-8373
Fax
(443) 512-8379
NPI assigned
Aug 25, 2006
Last updated
Aug 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Figueroa Rivera
Title
Third Party Administrator
Phone
(732) 521-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P01541 MD Primary

Addresses

Primary practice location

5 Bel Air South Pkwy Ste 301
Bel Air, MD 21015-6087

Mailing address

5 Bel Air South Pkwy Ste 301
Bel Air, MD 21015-6087
Phone (443) 512-8373

Other identifiers 2

IdentifierTypeStateIssuer
2116932OtherNCPDP PROVIDER IDENTIFICATION NUMBER
550692100MedicaidMD

Other names 1

  • Klein's Shoprite Pharmacy #549 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930078225 MD DME Supplier - Pharmacy 9739274036 Practice locations: Bel Air, MD
O20160319000020 MD Part B Supplier - Mass Immunization (Roster Biller Only) 9739274036 Practice locations: Bel Air, MD

National Provider Directory

National Provider Directory
Tax ID family
Klein's Shoprite Pharmacy 5492 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5 Bel Air South Pkwy
Bel Air, MD 21015
Phone (443) 512-8373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1013025717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEL AIR SOUTH PKWY STE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156087",
            "telephone_number": "443-512-8373",
            "fax_number": "443-512-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BEL AIR SOUTH PKWY STE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156087",
            "telephone_number": "443-512-8373",
            "fax_number": "443-512-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEINS FESTIVAL AT BEL AIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8439"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2116932",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550692100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klein's Shoprite Pharmacy #549",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.