Kimberly Ann Vollstedt, PHARMD
Individual provider Active NPI Pharmacist · Audubon, IA
NPI 1013239649 · NPPES record last updated Feb 24, 2010
Key facts
- NPI
- 1013239649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19529 (IA)
- Practice address
- 109 N Market St
Audubon, IA 50025-1173 - Phone
- (712) 563-3302
- Fax
- (712) 563-3404
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19529 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19529 | IA | Yes |
Addresses
Primary practice location
109 N Market St
Audubon, IA 50025-1173
Mailing address
109 N Market St
Audubon, IA 50025-1173
Phone (712) 563-3302
Other providers in Audubon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.