Jimi Mark Klementi, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

31514 Issued in TX

Practice address

701 S Stemmons Fwy Ste 230
Lewisville, TX 75067-4519

Phone

(469) 771-3151

Fax

(469) 771-3152

NPI assigned

Jul 15, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fotok Enterprises

  • Community/Retail Pharmacy
  • Lewisville, TX
  • NPI 1881193282
  NPD Authorized official

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1144872508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S STEMMONS FWY STE 230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674519",
            "telephone_number": "469-771-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S STEMMONS FWY STE 230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674519",
            "telephone_number": "469-771-3151",
            "fax_number": "469-771-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMENTI",
        "first_name": "JIMI",
        "middle_name": "MARK",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "31514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Lee Kinnison
• Jenna Kirk
• Michele Kitney, MA, LPC
• Autumn Kizer
• Diane Ellen Kizziar, LPC
• Kurt Klobassa, DPT
• Kma Diagnostic Specialties
• Laney Elizabeth Knowlton, LMFT
• Rebecca Koehl
• Kold With It Crowning LLC

• Pharmacist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.