Active NPI
Samuel Kluesner, PHARMD, BCPS
- Cardiology Pharmacist
- Kokomo, IN
National Provider Identifier
1679309116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiology Pharmacist
- License
- 26029243A
- Practice address
- 3500 S Lafountain St
Kokomo, IN 46902-3803 - Phone
- (765) 776-8000
- NPI assigned
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiology Pharmacist | 1835C0206X | 26029243A | IN | Primary |
Addresses
Primary practice location
3500 S Lafountain St
Kokomo, IN 46902-3803
Mailing address
4123 Calder Dr
Lafayette, IN 47909-6256
Phone (765) 516-2930
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26029243A | IN | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1679309116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 CALDER DR",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479096256",
"telephone_number": "765-516-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 S LAFOUNTAIN ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023803",
"telephone_number": "765-776-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUESNER",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0206X",
"taxonomy_group": "",
"desc": "Pharmacist, Cardiology",
"state": "IN",
"license": "26029243A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.