NPIMap

Organization Active NPI

Kleins at Riverside Inc

  • Clinic Pharmacy
  • Belcamp, MD
National Provider Identifier
1497385298
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
KLEINS AT RIVERSIDE INC
Practice address
1321 Riverside Pkwy
Belcamp, MD 21017-1388
Phone
(410) 272-1811
NPI assigned
Jan 21, 2020
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Frank Robert Henderson
Title
Pharmacy Director
Phone
(410) 420-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

1321 Riverside Pkwy
Belcamp, MD 21017-1388

Mailing address

1321 Riverside Pkwy
Belcamp, MD 21017-1388

National Provider Directory

National Provider Directory
Tax ID family
Klein's Shoprite Pharmacy 5512 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1497385298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 RIVERSIDE PKWY",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 RIVERSIDE PKWY",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171388",
            "telephone_number": "410-272-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEINS AT RIVERSIDE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "410-420-8220"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcamp, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.