Kimberley Peter, PHARMD

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

RP00007762 Issued in NM

Practice address

2669 Scenic Dr
Gerald Champion Regional Medical Center, Pharmacy Dept.
Alamogordo, NM 88310-8700

Phone

(575) 443-7979

NPI assigned

Jul 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1013324953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE DE SUENOS",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883109537",
            "telephone_number": "915-433-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 SCENIC DR",
            "address_2": "GERALD CHAMPION REGIONAL MEDICAL CENTER, PHARMACY DEPT.",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108700",
            "telephone_number": "575-443-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "KIMBERLEY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NM",
            "license": "RP00007762",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "TX",
            "license": "34008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reyna Pena
• Robin McClain Penrod, M.A., L..P.C.C.
• Destiny Pequeno
• Deli Perez Sanchez
• Sabrina Perez
• Brooke Petersen
• Laura Elizabeth Petersmith, CRNA
• Johanna Peterson
• Leslie Ann Peterson, RN
• Cheryl Petree, LPCC

• Geriatric Pharmacist in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Geriatric Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.