Individual provider Active NPI

Keith Robert Kleman

  • Pharmacist
  • Celina, OH
National Provider Identifier
1376143776
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-2-16834 Issued in OH
Practice address
1950 Havemann Rd
Celina, OH 45822-9300
Phone
(419) 586-6177
Fax
(419) 586-1926
NPI assigned
Oct 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-2-16834 OH Primary

Addresses

Primary practice location

1950 Havemann Rd
Celina, OH 45822-9300

Mailing address

1950 Havemann Rd
Celina, OH 45822-9300
Phone (419) 586-6177

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

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1376143776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 HAVEMANN RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458229300",
            "telephone_number": "419-586-6177",
            "fax_number": "419-586-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 HAVEMANN RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458229300",
            "telephone_number": "419-586-6177",
            "fax_number": "419-586-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMAN",
        "first_name": "KEITH",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-16834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.