Individual provider Active NPI

Darren Klotz, PHARMD, MS

  • Pharmacist
  • Odenton, MD
National Provider Identifier
1063982593
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15508 Issued in MD
Practice address
2294 Blue Water Blvd
Odenton, MD 21113-3300
Phone
(410) 672-1418
Fax
(410) 672-1632
NPI assigned
Nov 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15508 MD Primary

Addresses

Primary practice location

2294 Blue Water Blvd
Odenton, MD 21113-3300

Mailing address

2294 Blue Water Blvd
Odenton, MD 21113-3300
Phone (410) 672-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15508MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1063982593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 BLUE WATER BLVD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133300",
            "telephone_number": "410-672-1418",
            "fax_number": "410-672-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2294 BLUE WATER BLVD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133300",
            "telephone_number": "410-672-1418",
            "fax_number": "410-672-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTZ",
        "first_name": "DARREN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "15508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.