Active NPI
Amber Nicole Kimberlin, PHARMD, RPH
- Pharmacist
- Muncie, IN
National Provider Identifier
1013299858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26022459A
- Practice address
- 100 E McGalliard Rd
Muncie, IN 47303-1166 - Phone
- (765) 288-6171
- NPI assigned
- Sep 19, 2011
- Last updated
- Mar 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26022459A | IN | Primary |
Addresses
Primary practice location
100 E McGalliard Rd
Muncie, IN 47303-1166
Mailing address
100 E McGalliard Rd
Muncie, IN 47303-1166
Phone (765) 288-6171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26022459A | Other | IN | INDIANA BOARD OF PHARMACY |
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26022459A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364083200000",
"number": "1013299858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MCGALLIARD RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031166",
"telephone_number": "765-288-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MCGALLIARD RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031166",
"telephone_number": "765-288-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBERLIN",
"first_name": "AMBER",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2013-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26022459A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA BOARD OF PHARMACY",
"identifier": "26022459A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.