Laurie Lynn Klebosky, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH023128 Issued in GA

Practice address

605 Grayson Hwy
Lawrenceville, GA 30045-6333

Phone

(770) 963-6653

Fax

(770) 338-7563

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

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.

• Eckerd Corporation

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1619000452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 SWEETGALE CT",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187685",
            "telephone_number": "678-714-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GRAYSON HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456333",
            "telephone_number": "770-963-6653",
            "fax_number": "770-338-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBOSKY",
        "first_name": "LAURIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikeeta C Kitchen
• Rachel Calysta Kitchens-Cole, LCSW
• Sarah Kiwanuka, APRN
• KL Medical Clinic, LLC.
• Rebeca C Klatt, NP-C
• Jason Klevansky, DMD
• John Randall Kludt, M.D.
• Knight Wellness
• Krystal Knight, NP
• Rodney Knight

• Pharmacist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.