Provider Demographics
NPI:1487924924
Name:KLEIN'S ASSUREMED SOLUTIONS, INC.
Entity type:Organization
Organization Name:KLEIN'S ASSUREMED SOLUTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-926-5940
Mailing Address - Street 1:2015 STATE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1425
Mailing Address - Country:US
Mailing Address - Phone:330-926-5941
Mailing Address - Fax:330-940-4241
Practice Address - Street 1:2015 STATE RD STE B
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1425
Practice Address - Country:US
Practice Address - Phone:330-926-5941
Practice Address - Fax:330-940-4241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-30
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0226705503336L0003X, 3336L0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2133206OtherPK
OH0199760Medicaid
0913160001Medicare NSC