Active NPI
Kimberly S. Tomlin, RPH
- Pharmacist
- Wake Forest, NC
National Provider Identifier
1043506686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15313
- Practice address
- 12000 Retail Dr
Wake Forest, NC 27587-7353 - Phone
- (919) 761-1002
- Fax
- (919) 761-1002
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19281 | IA | |
| Pharmacist | 183500000X | 15313 | NC | Primary |
Addresses
Primary practice location
12000 Retail Dr
Wake Forest, NC 27587-7353
Mailing address
12000 Retail Dr
Wake Forest, NC 27587-7353
Phone (919) 761-1002
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 |
|---|---|---|---|
| 19281 | IA | MD | Pharmacist |
| 15313 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1043506686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 RETAIL DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877353",
"telephone_number": "919-761-1002",
"fax_number": "919-761-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 RETAIL DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877353",
"telephone_number": "919-761-1002",
"fax_number": "919-761-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLIN",
"first_name": "KIMBERLY",
"middle_name": "S.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19281",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "15313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.