Kim Rux, RPH
Individual provider Active NPI Pharmacist · Waseca, MN
NPI 1023616646 · NPPES record last updated Oct 15, 2020
Key facts
- NPI
- 1023616646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 114484 (MN)
- Practice address
- 2103 State St N
Waseca, MN 56093-2605 - Phone
- (507) 835-8184
- NPI assigned
- Oct 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114484 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past |
Accepting new patients | |
| Walmart Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 114484 | MN | Yes |
Addresses
Primary practice location
2103 State St N
Waseca, MN 56093-2605
Mailing address
1201 8TH St SE
Waseca, MN 56093-3906
Phone (507) 461-0144
Other providers in Waseca, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2020. 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.