Kylie Ryann Collom, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0019166 Issued in OR

Practice address

2074 S 6TH St
Klamath Falls, OR 97601-3372

Phone

(541) 851-8110

Fax

(541) 851-0190

NPI assigned

Dec 12, 2022

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1043921075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013372",
            "telephone_number": "541-851-8110",
            "fax_number": "541-851-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013372",
            "telephone_number": "541-851-8110",
            "fax_number": "541-851-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLOM",
        "first_name": "KYLIE",
        "middle_name": "RYANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0019166",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0019166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Liana Collier
• Jerick Michael Collins-Fly
• Deborah Collins, RN
• Deven Mischel Collins
• Mandi Lynne Collman, PSS,CRM
• Community Birth Group
• Kimberly Marie Conant, LMT
• Patricia Conchas
• Condition for Life
• Connect Restore Thrive Counseling Group

• Pharmacist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.