Active NPI
Kimberly L Yung
- Pharmacist
- Lincoln, NE
National Provider Identifier
1093208795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11208
- Practice address
- 8700 Andermatt Dr
Lincoln, NE 68526-9653 - Phone
- (402) 484-6342
- Fax
- (402) 484-6348
- NPI assigned
- Jun 7, 2018
- 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 | 11208 | NE | Primary |
Addresses
Primary practice location
8700 Andermatt Dr
Lincoln, NE 68526-9653
Mailing address
25601 S 12TH St
Martell, NE 68404-6100
Phone (402) 525-4905
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 |
|---|---|---|---|
| 11208 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1093208795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25601 S 12TH ST",
"city": "MARTELL",
"state": "NE",
"postal_code": "684046100",
"telephone_number": "402-525-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 ANDERMATT DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269653",
"telephone_number": "402-484-6342",
"fax_number": "402-484-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUNG",
"first_name": "KIMBERLY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.