Active NPI
Kimberly Jo Wapp, PHARMD
- Pharmacist
- Des Moines, IA
National Provider Identifier
1083760367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20409
- Practice address
- 4100 University Ave
Des Moines, IA 50311-3533 - Phone
- (515) 633-8606
- NPI assigned
- Jan 26, 2007
- 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 | 20409 | IA | Primary |
Addresses
Primary practice location
4100 University Ave
Des Moines, IA 50311-3533
Mailing address
650 SE Whitetail LN
Waukee, IA 50263-8549
Phone (515) 865-8949
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20409 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307750400000",
"number": "1083760367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 SE WHITETAIL LN",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502638549",
"telephone_number": "515-865-8949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 UNIVERSITY AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503113533",
"telephone_number": "515-633-8606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAPP",
"first_name": "KIMBERLY",
"middle_name": "JO",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2011-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.