Active NPI
John Klemenz, R. PH.
- Pharmacotherapy Pharmacist
- Rolling Meadows, IL
National Provider Identifier
1235540246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 051037914
- Practice address
- 1301 Meijer Dr
Rolling Meadows, IL 60008-4205 - Phone
- (847) 690-1210
- Fax
- (847) 690-0265
- NPI assigned
- May 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 051037914 | IL | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | PS37171 | FL |
Addresses
Primary practice location
1301 Meijer Dr
Rolling Meadows, IL 60008-4205
Mailing address
1301 Meijer Dr
Rolling Meadows, IL 60008-4205
Phone (847) 690-1210
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS37171 | FL | MD | Pharmacotherapy Pharmacist |
| 051037914 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1235540246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 MEIJER DR",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600084205",
"telephone_number": "847-690-1210",
"fax_number": "847-690-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 MEIJER DR",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600084205",
"telephone_number": "847-690-1210",
"fax_number": "847-690-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMENZ",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": "051037914",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PS37171",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolling Meadows, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.