Individual provider Active NPI

Kimberlee Cottrell, RPH

  • Pharmacist
  • Saint Clairsville, OH
National Provider Identifier
1013060094
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03319958 Issued in OH
Practice address
68501 Addie Way
Saint Clairsville, OH 43950-9537
Phone
(740) 695-6322
NPI assigned
Jan 21, 2007
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.039775 IL
Pharmacist 183500000X 03319958 OH Primary

Addresses

Primary practice location

68501 Addie Way
Saint Clairsville, OH 43950-9537

Mailing address

68501 Addie Way
Saint Clairsville, OH 43950-9537
Phone (740) 695-6322

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
051.039775ILMDPharmacist
03319958OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio CVS Stores, L.L.C. PastSince Dec 8, 2024 Accepting new patients
J D Pharmacy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1013060094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68501 ADDIE WAY",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509537",
            "telephone_number": "740-695-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68501 ADDIE WAY",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509537",
            "telephone_number": "740-695-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "KIMBERLEE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2007-01-21",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.039775",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03319958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.