Active NPI
Kimberly Elder, PHARMD
- Pharmacotherapy Pharmacist
- Indianapolis, IN
National Provider Identifier
1154603298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26023549A
- Practice address
- 830 Gardenbrook Cir Apt K
Indianapolis, IN 46202-4657 - Phone
- (502) 797-5845
- NPI assigned
- Sep 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26023549A | IN | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 014989 | KY |
Addresses
Primary practice location
830 Gardenbrook Cir Apt K
Indianapolis, IN 46202-4657
Mailing address
830 Gardenbrook Circle
Apartment K
Indianapolis, IN 46202-4657
Phone (502) 797-5845
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 |
|---|---|---|---|
| 26023549A | IN | MD | Pharmacotherapy Pharmacist |
| 014989 | KY | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1154603298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 GARDENBROOK CIRCLE",
"address_2": "APARTMENT K",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024657",
"telephone_number": "502-797-5845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 GARDENBROOK CIR APT K",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024657",
"telephone_number": "502-797-5845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "KIMBERLY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26023549A",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "KY",
"license": "014989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.