Individual provider Active NPI

Suzanne Klies, B.S.

  • Pharmacist
  • Catonsville, MD
National Provider Identifier
1639480197
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
09139 Issued in MD
Practice address
6401 Frederick Rd
Catonsville, MD 21228-3504
Phone
(410) 719-7005
Fax
(410) 747-1463
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 09139 MD Primary

Addresses

Primary practice location

6401 Frederick Rd
Catonsville, MD 21228-3504

Mailing address

6401 Frederick Rd
Catonsville, MD 21228-3504
Phone (410) 719-7005

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
09139MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1639480197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283504",
            "telephone_number": "410-719-7005",
            "fax_number": "410-747-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283504",
            "telephone_number": "410-719-7005",
            "fax_number": "410-747-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIES",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "09139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.