Active NPI
Kleins Broadway & Main Inc
- Clinic Pharmacy
- Bel Air, MD
National Provider Identifier
1124658919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- KLEINS BROADWAY & MAIN INC
- Practice address
- 223 N Main St
Bel Air, MD 21014-3501 - Phone
- (410) 420-8224
- NPI assigned
- Jan 21, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
Primary practice location
223 N Main St
Bel Air, MD 21014-3501
Mailing address
223 N Main St
Bel Air, MD 21014-3501
Phone (410) 420-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528282900 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | b.henderson@kleinsonline.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Kleins Broadway Main Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic Pharmacy
- Bel Air, MD
- NPI 1942830732
-
- Community/Retail Pharmacy
- Bel Air, MD
- NPI 1952418147
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": "1124658919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 N MAIN ST",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143501",
"telephone_number": "410-420-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 N MAIN ST",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143501",
"telephone_number": "410-420-8224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLEINS BROADWAY & MAIN 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": "528282900",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "b.henderson@kleinsonline.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "223 N Main St",
"city": "Bel Air",
"state": "MD",
"country_code": "US",
"postal_code": "210143501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 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.