Active NPI
Emily Jean Van Klompenburg, PHARMD
- Pharmacist
- Milbank, SD
National Provider Identifier
1639554249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6332
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6332 | SD | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6332 | SD | Primary |
Addresses
NPPES NPI RegistryPrimary 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.