Active NPI
Kimberly Bertschy
- Pharmacist
- Canton, OH
National Provider Identifier
1073029237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033377893
- Practice address
- 3010 Whipple Ave NW
Canton, OH 44718-3027 - Phone
- (330) 477-7269
- NPI assigned
- Dec 22, 2017
- Last updated
- Dec 22, 2017
- 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 | 033377893 | OH | Primary |
Addresses
Primary practice location
3010 Whipple Ave NW
Canton, OH 44718-3027
Mailing address
811 Renee Dr
Wadsworth, OH 44281-8842
Phone (330) 328-9984
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033377893 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513900800000",
"number": "1073029237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 RENEE DR",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442818842",
"telephone_number": "330-328-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 WHIPPLE AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447183027",
"telephone_number": "330-477-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTSCHY",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-22",
"last_updated": "2017-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "033377893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
- Cory Berry
- Courtney Elizabeth Bertels, OTR/L
- Anthony Patrick Bertin, DO
- Stanley Bertman, M.D.
- Jason Bertram, M.D.
- Alfreda Bess
- Best Observation Practices, LLC
- Bethany Health & Rehabilitation Center LLC (Bethany Health & Rehabilitation Center)
- Bethany Health & Rehabilitation Center LLC (Bethany Health & Rehabilitation Center)
- Bethany Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.