Individual provider Active NPI

Luke Austin Klinehoffer, PHARM D

  • Pharmacist
  • Ada, OH
National Provider Identifier
1497326714
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03440747 Issued in OH
Practice address
511 W Lincoln Ave
Ada, OH 45810-1201
Phone
(419) 772-3784
NPI assigned
Jul 7, 2021
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03440747 OH Primary

Addresses

Primary practice location

511 W Lincoln Ave
Ada, OH 45810-1201

Mailing address

718 Union St
Ada, OH 45810-1329
Phone (740) 252-2778

Other practice location 1

101B E Pike St
Jackson Center, OH 45334-6000
Phone (937) 596-3100

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

State licenses

LicenseStateTypeSpecialty
03440747OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Northern University CurrentSince Jul 17, 2021 Accepting new patients

Locations

511 W Lincoln Ave
Ada, OH 45810
Phone (419) 772-2299

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1497326714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 UNION ST",
            "city": "ADA",
            "state": "OH",
            "postal_code": "458101329",
            "telephone_number": "740-252-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W LINCOLN AVE",
            "city": "ADA",
            "state": "OH",
            "postal_code": "458101201",
            "telephone_number": "419-772-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101B E Pike St",
            "address_purpose": "LOCATION",
            "city": "Jackson Center",
            "state": "OH",
            "postal_code": "453346000",
            "country_code": "US",
            "telephone_number": "937-596-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINEHOFFER",
        "first_name": "LUKE",
        "middle_name": "AUSTIN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03440747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.