Active NPI
Katherine Suzanne Klockau, PHARM.D.
- Pharmacist
- Fraser, CO
National Provider Identifier
1104173756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19540
- Practice address
- 40 County Road
#804
Fraser, CO 80442-0218 - Phone
- (970) 726-6920
- Fax
- (970) 726-6836
- NPI assigned
- Aug 13, 2012
- Last updated
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19540 | CO | Primary |
Addresses
Primary practice location
40 County Road
#804
Fraser, CO 80442-0218
Mailing address
40 County Road #804
Fraser, CO 80442-0218
Phone (970) 726-6920
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19540 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1104173756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 COUNTY ROAD #804",
"city": "FRASER",
"state": "CO",
"postal_code": "804420218",
"telephone_number": "970-726-6920",
"fax_number": "970-726-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 COUNTY ROAD",
"address_2": "#804",
"city": "FRASER",
"state": "CO",
"postal_code": "804420218",
"telephone_number": "970-726-6920",
"fax_number": "970-726-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOCKAU",
"first_name": "KATHERINE",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "19540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fraser, CO
- Jodi Klein Glaisher, OTR
- Jessica Marie Hanna, PHARMD
- High Plains Pediatric Therapy, PC
- Kathleen Mason Hulley, LPC
- Lexa Marie Johnson, NP
- Kremmling Memorial Hospital District (Middle Park Medical Center - Fraser)
- Kremmling Memorial Hospital District
- Kremmling Memorial Hospital District (Middle Park Health Fraser Specialty Clinic)
- Kremmling Memorial Hospital District (Middle Park Medical Center)
- Kremmling Memorial Hospital District (Middle Park Medical Center - Fraser)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.