Active NPI
Kimberly B Kaminski, RPH
- Pharmacist
- Cornelia, GA
National Provider Identifier
1033756473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020478
- Practice address
- 130 Magnolia Lane
Ste a
Cornelia, GA 30531-0457 - Phone
- (706) 776-3784
- Fax
- (706) 776-3788
- NPI assigned
- Dec 4, 2019
- Last updated
- Nov 29, 2024
- 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 | RPH020478 | GA | Primary |
Addresses
Primary practice location
130 Magnolia Lane
Ste a
Cornelia, GA 30531-0457
Mailing address
130 Magnolia Lane
Ste a
Cornelia, GA 30531-0457
Phone (706) 776-3784
Other names 1
- Miss Kimberly Jane Baskin
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH020478 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tims Pharmacy Inc | Current | Accepting new patients | |
| Tims Pharmacy Inc | Current | Accepting new patients |
Locations
130 Magnolia Ln
Ste A
Cornelia, GA 30531
Phone (706) 776-3784
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": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732838400000",
"number": "1033756473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MAGNOLIA LANE",
"address_2": "STE A",
"city": "CORNELIA",
"state": "GA",
"postal_code": "305310457",
"telephone_number": "706-776-3784",
"fax_number": "706-776-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAGNOLIA LANE",
"address_2": "STE A",
"city": "CORNELIA",
"state": "GA",
"postal_code": "305310457",
"telephone_number": "706-776-3784",
"fax_number": "706-776-3788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "KIMBERLY",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-04",
"last_updated": "2024-11-29",
"certification_date": "2024-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "BASKIN",
"middle_name": "JANE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cornelia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.