Individual provider Active NPI

Kimberly Caye McKeirnan, PHARMD

  • Pharmacist
  • Spokane, WA
National Provider Identifier
1043573264
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60004249 Issued in WA
Practice address
3010 E 57TH Ave
Spokane, WA 99223-7011
Phone
(509) 443-6502
Fax
(509) 443-6572
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60004249 WA Primary
Pharmacist 183500000X PH60104492 WA

Addresses

Primary practice location

3010 E 57TH Ave
Spokane, WA 99223-7011

Mailing address

5505 S Southview LN
Spokane, WA 99223-1595
Phone (509) 338-5041

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

State licenses

LicenseStateTypeSpecialty
PH60004249WAMDPharmacist
PH60104492WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1043573264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 S SOUTHVIEW LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992231595",
            "telephone_number": "509-338-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237011",
            "telephone_number": "509-443-6502",
            "fax_number": "509-443-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEIRNAN",
        "first_name": "KIMBERLY",
        "middle_name": "CAYE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60004249",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60104492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.