Active NPI
Luke Austin Klinehoffer, PHARM D
- Pharmacist
- Ada, OH
National Provider Identifier
1497326714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03440747
- Practice address
- 511 W Lincoln Ave
Ada, OH 45810-1201 - Phone
- (419) 772-3784
- NPI assigned
- Jul 7, 2021
- Last updated
- Jul 7, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03440747 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Northern University | Current | 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.