Individual provider Active NPI

Emily Jean Van Klompenburg, PHARMD

  • Pharmacist
  • Milbank, SD
National Provider Identifier
1639554249
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6332 Issued in SD
Practice address
109 S Main St
Milbank, SD 57252-1806
Phone
(605) 432-5542
Fax
(605) 432-6258
NPI assigned
Jul 24, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6332SDMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6332 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

109 S Main St
Milbank, SD 57252-1806

Mailing address

109 S Main St
Milbank, SD 57252-1806
Phone (605) 432-5542

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2015.

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1639554249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521806",
            "telephone_number": "605-432-5542",
            "fax_number": "605-432-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521806",
            "telephone_number": "605-432-5542",
            "fax_number": "605-432-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KLOMPENBURG",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "6332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milbank, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.