NPIMap

Organization Active NPI

Kleins Tower Plaza Inc

  • Community/Retail Pharmacy
  • Forest Hill, MD
National Provider Identifier
1780242800
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KLEINS TOWER PLAZA INC
Practice address
2101 Rock Spring Rd
Forest Hill, MD 21050-2617
Phone
(410) 420-8224
NPI assigned
Jun 4, 2019
Organization subpart
Yes
Parent organization
KLEIN'S TOWER PLAZA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Frank Robert Henderson
Title
Pharmacy Director
Phone
(410) 420-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2101 Rock Spring Rd
Forest Hill, MD 21050-2617

Mailing address

2101 Rock Spring Rd
Forest Hill, MD 21050-2617
Phone (410) 420-8224

Other identifiers 1

IdentifierTypeStateIssuer
773192200MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address b.henderson@kleinsonline.com

National Provider Directory

National Provider Directory
Tax ID family
Kleins Tower Plaza Inc3 organizations share this tax ID, including this one
Part of
Kleins Tower Plaza Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1780242800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ROCK SPRING RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502617",
            "telephone_number": "410-420-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ROCK SPRING RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502617",
            "telephone_number": "410-420-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEINS TOWER PLAZA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KLEIN'S TOWER PLAZA INC",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "410-420-8220"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "773192200",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "b.henderson@kleinsonline.com",
            "affiliation": "N",
            "address_1": "2101 Rock Spring Rd",
            "city": "Forest Hill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210502617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.