Ann Patrice Kluck, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302024174 Issued in MI

Practice address

1525 W Lake Lansing Rd
East Lansing, MI 48823-1387

Phone

(517) 336-5603

Fax

(517) 336-5638

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255425674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2866 TURTLECREEK DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236333",
            "telephone_number": "517-337-8336",
            "fax_number": "517-336-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231387",
            "telephone_number": "517-336-5603",
            "fax_number": "517-336-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUCK",
        "first_name": "ANN",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302024174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE NUMBER",
            "identifier": "5302024174",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randal Klatt
• Daniel R Klein, DDS
• David H Klein, MSW,ACSW,PHD
• Jenna Klein
• Tara Marie Klix, D.O.
• Alyssa Klump, DPT
• Kmkimmerly Counseling LLC
• Constance E Knaggs, LMSW
• Margaret Jane Knapp, M.D.
• Sarah Newman Knapp, OD

• Pharmacist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.