Active NPI
Jonathan Richard Van Cleve, RPH, PHARMD, BCCCP
- Critical Care Pharmacist
- Nashville, TN
National Provider Identifier
1295328946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- RP00008775
- Practice address
- 1310 24TH Ave S
Nashville, TN 37212-2637 - Phone
- (615) 327-4751
- NPI assigned
- Feb 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Pharmacist | 1835C0205X | RP00008775 | NM | Primary |
Addresses
Primary practice location
1310 24TH Ave S
Nashville, TN 37212-2637
Mailing address
1513 Ridgecrest Dr SE
Albuquerque, NM 87108-4455
Other practice location 1
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-5071
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00008775 | NM | MD | Critical Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1295328946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 RIDGECREST DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871084455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-327-4751"
}
],
"practiceLocations": [
{
"address_1": "601 Dr Martin Luther King Jr Ave NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871023619",
"country_code": "US",
"telephone_number": "505-727-5071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN CLEVE",
"first_name": "JONATHAN",
"middle_name": "RICHARD",
"credential": "RPH, PHARMD, BCCCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-13",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "NM",
"license": "RP00008775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.