Kimberly Jane Block, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

124058 Issued in MN

Practice address

112A Main St S
Pierz, MN 56364-4400

Phone

(320) 468-2072

NPI assigned

Mar 19, 2019

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrifty Drug Stores Inc

  • Community/Retail Pharmacy
  • Wadena, MN
  • NPI 1710678545
  NPD (past)
• Thrifty Drug Stores Inc

  • Community/Retail Pharmacy
  • Pierz, MN
  • NPI 1922302447
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: p779@thriftywhite.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2019.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1073072005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112A MAIN ST S",
            "city": "PIERZ",
            "state": "MN",
            "postal_code": "563644400",
            "telephone_number": "320-468-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112A MAIN ST S",
            "city": "PIERZ",
            "state": "MN",
            "postal_code": "563644400",
            "telephone_number": "320-468-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "P779@ThriftyWhite.com",
            "affiliation": "N",
            "address_1": "112A Main St S",
            "city": "Pierz",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563644400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taryn Becker, DPT
• Holly Clara Bochow, BUSINESS MANAGER
• Laurie Boser, MSW, LICSW
• Angela Dahlgren
• Dynamic Therapy and Wellness LLC
• Feeling and Healing Therapy and Consultation LLC

• All providers in Pierz, MN
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.