Individual provider Active NPI

Nathan Zachary Kiebler, PHARMD

  • Pharmacist
  • St Pete Beach, FL
National Provider Identifier
1164025680
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS60836 Issued in FL
Practice address
4685 Gulf Blvd
St Pete Beach, FL 33706-2405
Phone
(727) 360-0818
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS60836 FL Primary

Addresses

Primary practice location

4685 Gulf Blvd
St Pete Beach, FL 33706-2405

Mailing address

540 Trinity LN N Apt 4301
St Petersburg, FL 33716-1320
Phone (724) 787-4653

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

LicenseStateTypeSpecialty
PS60836FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1164025680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 TRINITY LN N APT 4301",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161320",
            "telephone_number": "724-787-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 GULF BLVD",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337062405",
            "telephone_number": "727-360-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEBLER",
        "first_name": "NATHAN",
        "middle_name": "ZACHARY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS60836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Pete Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.