NPIMap

Organization Active NPI

Kleins of Cardiff Inc

  • Clinic Pharmacy
  • Cardiff, MD
National Provider Identifier
1033749833
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
KLEINS OF CARDIFF INC
Practice address
1606 Dooley Rd
Cardiff, MD 21160-1130
Phone
(410) 452-9799
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Frank Robert Henderson
Title
Pharmacy Director
Phone
(410) 420-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

1606 Dooley Rd
Cardiff, MD 21160-1130

Mailing address

1606 Dooley Rd
Cardiff, MD 21160-1130

Other identifiers 1

IdentifierTypeStateIssuer
403892400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Klein'S Shoprite Pharmacy 5552 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

1606 Dooley Rd
Whiteford, MD 21160
Phone (410) 452-9799

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1033749833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 DOOLEY RD",
            "city": "CARDIFF",
            "state": "MD",
            "postal_code": "211601130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 DOOLEY RD",
            "city": "CARDIFF",
            "state": "MD",
            "postal_code": "211601130",
            "telephone_number": "410-452-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEINS OF CARDIFF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "410-420-8220"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403892400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardiff, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.