Active NPI
Tara M Kleinknight, PHARM.D.
- Pharmacist
- Eden Prairie, MN
National Provider Identifier
1225352560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 119663
- Practice address
- 8240 Flying Cloud Dr
Eden Prairie, MN 55344-5316 - Phone
- (952) 252-1112
- Fax
- (952) 252-1118
- NPI assigned
- Mar 15, 2010
- 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 | 119663 | MN | Primary |
Addresses
Primary practice location
8240 Flying Cloud Dr
Eden Prairie, MN 55344-5316
Mailing address
8240 Flying Cloud Dr
Eden Prairie, MN 55344-5316
Phone (952) 252-1112
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 |
|---|---|---|---|
| 119663 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Eden Prairie, MN
- NPI 1548594385
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1225352560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8240 FLYING CLOUD DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445316",
"telephone_number": "952-252-1112",
"fax_number": "952-252-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8240 FLYING CLOUD DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445316",
"telephone_number": "952-252-1112",
"fax_number": "952-252-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINKNIGHT",
"first_name": "TARA",
"middle_name": "M",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.