NPIMap

Individual provider Active NPI

Erik Klinker, PHARM.D.

  • Pharmacist
  • Peoria, AZ
National Provider Identifier
1578890331
Registry record updated Nov 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S014949 Issued in AZ
Practice address
9245 W Union Hills Dr
Peoria, AZ 85382-8154
Phone
(623) 972-8425
Fax
(623) 972-3249
NPI assigned
Nov 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S014949 AZ Primary

Addresses

Primary practice location

9245 W Union Hills Dr
Peoria, AZ 85382-8154

Mailing address

9245 W Union Hills Dr
Peoria, AZ 85382-8154
Phone (623) 972-8425

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

LicenseStateTypeSpecialty
S014949AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith'S Food & Drug Centers Inc Past Accepting new patients
Smiths Food & Drug Centers Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258156800000",
    "number": "1578890331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828154",
            "telephone_number": "623-972-8425",
            "fax_number": "623-972-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828154",
            "telephone_number": "623-972-8425",
            "fax_number": "623-972-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINKER",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-14",
        "last_updated": "2009-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S014949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2009; 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.