John Charles Kluczny, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

112349-4 Issued in MN

Practice address

1305 1St Ave SW
Austin, MN 55912-1601

Phone

(507) 433-4586

Fax

(507) 433-7003

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013046796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 16TH ST SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559121717",
            "telephone_number": "507-437-1479",
            "fax_number": "507-433-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 1ST AVE SW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559121601",
            "telephone_number": "507-433-4586",
            "fax_number": "507-433-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUCZNY",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "112349-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN PHARMACIST LICENSE #",
            "identifier": "112349-4",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Austin, MN
• Providers in Austin, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.