Matthew Klieforth, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

19287-40 Issued in WI

Practice address

N2345 Weatherhill CT
Greenville, WI 54942-8070

Phone

(715) 937-3930

NPI assigned

May 14, 2020

Last updated

May 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Fox Valley Prescription Centers LTD

  dba Appleton Hometown Pharmacy

  • Community/Retail Pharmacy
  • Appleton, WI
  • NPI 1306995519
  NPD

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1558983486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W COLLEGE AVE STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2345 WEATHERHILL CT",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428070",
            "telephone_number": "715-937-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIEFORTH",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19287-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Lydia Holinka, RT
• Kelly Hoyer
• Heather Ifft, BCBA
• Jennifer Lynn Jentz, LMT
• Shannan Johnson
• Victoria Klieforth
• Julia M La Maide, RN
• Kari L Lathrop Capaul, MD
• Kasi Lee Ludwig, PHARMD
• Melissa B Matson, PT

• Pharmacist in Greenville, WI
• Providers in Greenville, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.