Kleins of Aberdeen Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01541 Issued in MD

Legal business name

KLEINS OF ABERDEEN INC

Practice address

949 Beards Hill Rd
Aberdeen, MD 21001-1734

Phone

(410) 272-3101

Fax

(410) 272-6168

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Klein's ShopRite Pharmacy #548 Doing business as

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

Tax ID family

Klein'S Shoprite Pharmacy 5482 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kleins of Aberdeen Inc

  • Clinic Pharmacy
  • Aberdeen, MD
  • NPI 1679103469
  NPD tax ID

Locations

Practitioners 3

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

• Gladimir Elysee, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Aberdeen, MD
  • NPI 1063924553
  NPD (past)
• Karen M Gaydos, RPH

  • Pharmacist
  • Aberdeen, MD
  • NPI 1700345386
  NPD (past)
• Nancy Ann Samuels

  • Pharmacist
  • Aberdeen, MD
  • NPI 1487861746
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1942317136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 BEARDS HILL RD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011734",
            "telephone_number": "410-272-3101",
            "fax_number": "410-272-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 BEARDS HILL RD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011734",
            "telephone_number": "410-272-3101",
            "fax_number": "410-272-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEINS OF ABERDEEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8439"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399932700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klein's ShopRite Pharmacy #548",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Marie Kinker, FNP-C
• Bruce C Kinzinger, MD
• Lynn S Kirylo, LCSW-C
• Kelly Beaudry Klastava, LCSW-C
• Kleins of Aberdeen Inc
• Jean Vesta Kneebone, MAC LIC AC
• Carol Knight, R.N.
• Ta'Nia M Knight, LCSW-C
• Janice M Kominski, M.S. CANDIDATE
• Mark Steven Kordonski, D.C.

• Community/Retail Pharmacy in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.