Nelson Eugene Kline, RPH
Individual provider Active NPI Pharmacist · Williamsport, MD
NPI 1679560916 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1679560916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12804 (MD)
- Practice address
- 100 E Potomac St
Williamsport, MD 21795-1108 - Phone
- (301) 223-4101
- Fax
- (301) 432-2466
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12804 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ab & J RX Corporation | Current |
Accepting new patients | |
| Ab & J RX Corporation | Current | Accepting new patients |
Locations
100 E Potomac St
Williamsport, MD 21795
Phone (301) 223-4101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12804 | MD | Yes |
Addresses
Primary practice location
100 E Potomac St
Williamsport, MD 21795-1108
Mailing address
13529 Mellott LN
Williamsport, MD 21795-1620
Phone (301) 223-5092
Other providers in Williamsport, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.