Individual provider Active NPI

Bryan Keith Kleven, RPH

  • Pharmacist
  • Spokane, WA
National Provider Identifier
1962785030
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00059479 Issued in WA
Practice address
2610 E 29TH Ave
Spokane, WA 99223-4806
Phone
(509) 535-3623
Fax
(509) 535-8413
NPI assigned
Sep 24, 2011
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00059479 WA Primary

Addresses

Primary practice location

2610 E 29TH Ave
Spokane, WA 99223-4806

Mailing address

2610 E 29TH Ave
Spokane, WA 99223-4806
Phone (509) 535-3623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH00059479WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosauers Supermarkets Inc Past Accepting new patients
Rosauers Supermarkets Inc Past Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Dec 28, 2022 Accepting new patients
Walgreen Co PastSince Dec 28, 2022 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1962785030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234806",
            "telephone_number": "509-535-3623",
            "fax_number": "509-535-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234806",
            "telephone_number": "509-535-3623",
            "fax_number": "509-535-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEVEN",
        "first_name": "BRYAN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-24",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00059479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.