Active NPI
Jennifer Ann Kleiber, PHARMD
- Pharmacist
- Bay City, MI
National Provider Identifier
1598059487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302037108
- Practice address
- 4135 Wilder Rd
Bay City, MI 48706-2240 - Phone
- (989) 686-5143
- Fax
- (989) 686-5143
- NPI assigned
- Jun 8, 2011
- Last updated
- Nov 25, 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 | 5302037108 | MI | Primary |
Addresses
Primary practice location
4135 Wilder Rd
Bay City, MI 48706-2240
Mailing address
4135 Wilder Rd
T-0631
Bay City, MI 48706-2240
Phone (989) 686-5143
Other names 1
- Jennifer Ann Sullivan
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 |
|---|---|---|---|
| 5302037108 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Target Corporation | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322179200000",
"number": "1598059487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 WILDER RD",
"address_2": "T-0631",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487062240",
"telephone_number": "989-686-5143",
"fax_number": "989-686-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 WILDER RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487062240",
"telephone_number": "989-686-5143",
"fax_number": "989-686-5143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIBER",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2011-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302037108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "SULLIVAN",
"middle_name": "ANN",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.