Jessica Klickna, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

17454 Issued in CO

Practice address

6590 Holman St Unit 203
Arvada, CO 80004-3506

Phone

(303) 420-7979

Fax

(303) 420-7980

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Wadsworth Medical Arts Pharmacy LLC

  • Long Term Care Pharmacy
  • Arvada, CO
  • NPI 1548281512
  NPD (past)

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1972174993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6590 HOLMAN ST UNIT 203",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043506",
            "telephone_number": "303-420-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6590 HOLMAN ST UNIT 203",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043506",
            "telephone_number": "303-420-7979",
            "fax_number": "303-420-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLICKNA",
        "first_name": "JESSICA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "17454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "17454",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jklickna@wardroadrx.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6590 Holman St Unit 203",
            "city": "Arvada",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800043506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane M Kirkwood
• Michael J. Kish, D.M.D.
• Nathan Scott Kizer, ACUPUNCTURIST
• John Tyler Klein, OD
• Maureen Harden Klein, NP
• Kathryn Knapp, PHARMD
• Maggie Elizabeth Knapp, BS
• Daniel Robert Knigge, PTA
• Erica Kate Knowles, MSN-FNP
• Carrie Knowlton, RN

• Pharmacist in Arvada, CO
• Providers in Arvada, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.