Active NPI
Kathy Zimmer, RPH
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1144502899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041534
- Practice address
- 8915 Saint Charles Rock Rd
Saint Louis, MO 63114-4237 - Phone
- (314) 427-2090
- NPI assigned
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 041534 | MO | Primary |
Addresses
Primary practice location
8915 Saint Charles Rock Rd
Saint Louis, MO 63114-4237
Mailing address
8915 Saint Charles Rock Rd
Saint Louis, MO 63114-4237
Phone (314) 427-2090
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041534 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1144502899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8915 SAINT CHARLES ROCK RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631144237",
"telephone_number": "314-427-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8915 SAINT CHARLES ROCK RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631144237",
"telephone_number": "314-427-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "KATHY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "041534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.