Kleins at Riverside Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01719 Issued in MD

Legal business name

KLEINS AT RIVERSIDE INC

Doing business as

Klein's Shoprite Pharmacy #551

Practice address

1321 Riverside Pkwy
Belcamp, MD 21017-1388

Phone

(410) 757-6601

Fax

(410) 297-2276

NPI assigned

Aug 24, 2006

Last updated

Oct 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Klein's Shoprite Pharmacy #551 Doing business as

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

Tax ID family

Klein's Shoprite Pharmacy 5512 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kleins at Riverside Inc

  • Clinic Pharmacy
  • Belcamp, MD
  • NPI 1497385298
  NPD tax ID

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1669589867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 RIVERSIDE PKWY",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171388",
            "telephone_number": "410-757-6601",
            "fax_number": "410-297-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 RIVERSIDE PKWY",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171388",
            "telephone_number": "410-757-6601",
            "fax_number": "410-297-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEINS AT RIVERSIDE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8439"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190692500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2118594",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klein's Shoprite Pharmacy #551",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda L Joy, PA-C
• Samuel Katz
• Amanda Kelly, N.P.
• Michael Kirchner, D.D.S.
• Kleins at Riverside Inc
• Lori Ann Levy, OTR/L
• Lifebridge Sports Medicine & Rehabilitation LLC
• Lion of Judah Academy (Lion Of Judah Transportation LLC)
• Heather D Long, PTA
• Lotus Springs

• Community/Retail Pharmacy in Belcamp, MD
• Providers in Belcamp, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.