Active NPI
Patricia S Kleiss, PHARM D
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1568731149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2006003431
- Practice address
- 229 Peeke Ave
Saint Louis, MO 63122-2727 - Phone
- (314) 966-5405
- NPI assigned
- Dec 28, 2011
- Last updated
- Dec 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 2006003431 | MO | Primary |
Addresses
Primary practice location
229 Peeke Ave
Saint Louis, MO 63122-2727
Mailing address
229 Peeke Ave
Saint Louis, MO 63122-2727
Phone (314) 966-5405
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 |
|---|---|---|---|
| 2006003431 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1568731149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 PEEKE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631222727",
"telephone_number": "314-966-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 PEEKE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631222727",
"telephone_number": "314-966-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEISS",
"first_name": "PATRICIA",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2006003431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Donn Craig Kleinschmidt, MD
- Katherine Marie Kleinschmidt, AU.D.
- Kent Ryan Kleinschmidt, MD
- Richard Kleinschmidt, PA
- Joseph G. Kleinsmith
- Kacie Kielhofner Kleissle, MSN, FNP-C
- Kleitz DMD Richardson DMD PC (Des Peres Dental Group Inc)
- Randall Allen Kleitz, DMD
- Paul Alan Klekotka, MD
- Chandler Klemm, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.