Individual provider Active NPI

Kimberly Vlahos

  • Pharmacist
  • Oneonta, NY
National Provider Identifier
1083216964
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066823 Issued in NY
Practice address
705 State Highway 28
Oneonta, NY 13820-3575
Phone
(607) 432-0681
Fax
(607) 431-2543
NPI assigned
Nov 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066823 NY Primary

Addresses

Primary practice location

705 State Highway 28
Oneonta, NY 13820-3575

Mailing address

9154 County Highway 16
Treadwell, NY 13846-4612
Phone (518) 316-0429

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

LicenseStateTypeSpecialty
066823NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin's Foods of South Burlington, LLC PastSince Nov 1, 2020 Accepting new patients
Martins Foods of South Burlington LLC PastSince Nov 1, 2020 Accepting new patients
Martins Foods of South Burlington LLC PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1083216964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9154 COUNTY HIGHWAY 16",
            "city": "TREADWELL",
            "state": "NY",
            "postal_code": "138464612",
            "telephone_number": "518-316-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 STATE HIGHWAY 28",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138203575",
            "telephone_number": "607-432-0681",
            "fax_number": "607-431-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLAHOS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.