Kimberly Ridenour

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

03222966 Issued in OH

Practice address

3298 Elida Rd
Lima, OH 45805-1220

Phone

(419) 331-6410

NPI assigned

Apr 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1063822906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 LAKESHORE DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061466",
            "telephone_number": "419-331-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 ELIDA RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051220",
            "telephone_number": "419-331-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENOUR",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OH",
            "license": "03222966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi R Richardson, RN
• Imari Nataka Richardson
• Hunter Ricketts, D.O.
• Jessica Renee Ricketts, MD
• Beth Ann Ridenour
• Logan James Ridenour, CNP
• Joann E Rider, AUDIOLOGIST
• Cynthia Ridgell, LSW
• Robert T. Riegle, ACA, BC-HIS
• Logan Michael Rieman, CNP

• Pharmacotherapy Pharmacist in Lima, OH
• Providers in Lima, OH by specialty
• Pharmacotherapy Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.