Klass Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021756100 Issued in OH

Legal business name

KLASS APOTHECARY INC

Practice address

1831 E Main St
Ottawa, OH 45875-1649

Phone

(419) 523-6122

Fax

(419) 523-6228

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Roy Klass, BS,RPH

Title

Owner,Pic,Ao

Phone

(937) 477-9653

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• TUCKERS OTTAWA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 3

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

• James Kleman, RPH

  • Pharmacist
  • Ottawa, OH
  • NPI 1922097849
  NPD (past)
• William Elliott Tucker, RPH

  • Pharmacist
  • Ottawa, OH
  • NPI 1598754020
  NPD (past)
• Shelly Lynn Verhoff, R.PH

  • Pharmacist
  • Ottawa, OH
  • NPI 1356330815
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1790754653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 E MAIN ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751649",
            "telephone_number": "419-523-6122",
            "fax_number": "419-523-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 E MAIN ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751649",
            "telephone_number": "419-523-6122",
            "fax_number": "419-523-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLASS APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "KLASS",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER,PIC,AO",
        "authorized_official_telephone_number": "937-477-9653",
        "authorized_official_credential": "BS,RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021756100",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075405",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2780987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUCKERS OTTAWA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice Patricia Kaufman, PH.D.
• Kristine Renee Kaufman, CNP
• Kiddos ABA Therapy, LLC
• Logan M Kissell
• Klass Apothecary Inc
• James Kleman, RPH
• Logan Kline
• Linda Sue Knowlton, ED.D.
• Melany Kohls
• Alyssa Jane Kuhlman

• Community/Retail Pharmacy in Ottawa, OH
• Providers in Ottawa, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.