KLP LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KLP LLC

Practice address

9580 Garden Grove Blvd
#108
Garden Grove, CA 92844-1529

Phone

(714) 537-6619

Fax

(714) 537-1769

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Jasmine H Lee, PHARMDNPI 1730855974

Title

Pic

Phone

(714) 537-6619

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DSK PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine H Lee

  • Pharmacist
  • Garden Grove, CA
  • NPI 1730855974
  NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1669499216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 GARDEN GROVE BLVD",
            "address_2": "#108",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441529",
            "fax_number": "714-537-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 GARDEN GROVE BLVD",
            "address_2": "#108",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441529",
            "telephone_number": "714-537-6619",
            "fax_number": "714-537-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "714-537-6619",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669499216",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nai Kinsbursky, OTR/L
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• Kla Healthcare Inc
• Kla Healthcare Inc
• KMS & Herbs Inc
• Ashlyn Knapp
• Alyssa Kniess
• Samuel Russell Knott
• Kaylie Knox-Gorlack, RBT

• Community/Retail Pharmacy in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.