Klass Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021756150 Issued in OH

Legal business name

KLASS APOTHECARY INC

Doing business as

TUCKERS PHARMACY

Practice address

105 Dr Thatye Drive
Glandorf, OH 45848

Phone

(419) 538-7120

Fax

(419) 538-7121

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Roy Klass, BS RPH

Title

Owner

Phone

(937) 477-9653

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TUCKERS PHARMACY Doing business as

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1417926262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "458480033",
            "telephone_number": "419-538-7120",
            "fax_number": "419-538-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DR THATYE DRIVE",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "45848",
            "telephone_number": "419-538-7120",
            "fax_number": "419-538-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLASS APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "KLASS",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-477-9653",
        "authorized_official_credential": "BS RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021756150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2781306",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3669314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUCKERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glandorf Vision Group Inc.
• Trina M Hagemyer, M.A., PC, CR
• Corrine Marie Halker
• Abigail Hilvers, OD
• Kidney Services of West Central Ohio LTD
• Mandy A Klass, M.D.
• Zachary A Klausing, D.C.
• Darla E Lammers, D.C.
• Lima Emergency Physicians Inc
• Lima Urology Inc

• Community/Retail Pharmacy in Glandorf, OH
• Providers in Glandorf, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.