Klock & Nail Enterprise Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10885 Issued in TX

Legal business name

KLOCK & NAIL ENTERPRISE INC

Doing business as

Seminary Drive Pharmacy

Practice address

1309 E Seminary Dr
Ft Worth, TX 76115-2945

Phone

(817) 927-7846

Fax

(817) 926-9486

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Richard Klock, RPH

Title

Pres

Phone

(817) 927-7846

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SEMINARY DRIVE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1912019829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 E SEMINARY DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761152945",
            "telephone_number": "817-927-7846",
            "fax_number": "817-926-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E SEMINARY DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761152945",
            "telephone_number": "817-927-7846",
            "fax_number": "817-926-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLOCK & NAIL ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "KLOCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "817-927-7846",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "10885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142673",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4520412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEMINARY DRIVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harry Fitch Klinefelter III, PHD
• Adyson Mitchell Klingenberg, MS RD LD
• Rikki Klingenberg
• Stefanie Klintworth, LCSW
• Dragana Vujic Kljaic, AGACNP
• Kristen Michelle Kluber, DO
• Samantha Klym
• Jadwiga A Klymiuk, MD
• Kendall Caroline Knapp, RD LD
• Luke Knapp, M.D.

• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.