Individual provider Active NPI

Jana Klepzig, RPH

  • Pharmacist
  • Olive Branch, MS
National Provider Identifier
1508524794
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E8684 Issued in MS
Practice address
9065 Sandidge Center CV
Olive Branch, MS 38654-3574
Phone
(662) 892-8448
NPI assigned
Dec 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 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 E8684 MS Primary

Addresses

Primary practice location

9065 Sandidge Center CV
Olive Branch, MS 38654-3574

Mailing address

869 Highway 305 S
Olive Branch, MS 38654-5231
Phone (662) 892-8448

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
E8684MSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1508524794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 HIGHWAY 305 S",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386545231",
            "telephone_number": "662-892-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 SANDIDGE CENTER CV",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543574",
            "telephone_number": "662-892-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPZIG",
        "first_name": "JANA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E8684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.