Areti Maria Pimenta, PHARM D
Individual provider Active NPI Pharmacist · Prarie Village, KS
NPI 1164737672 · NPPES record last updated Dec 27, 2016
Key facts
- NPI
- 1164737672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 054865 (NY)
- Practice address
- 25 On the Mall
The Village
Prarie Village, KS 66208 - Phone
- (913) 362-3100
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054865 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce Smith Drugs | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 054865 | NY | Yes |
Addresses
Primary practice location
25 On the Mall
The Village
Prarie Village, KS 66208
Mailing address
812 Vincent Ave
Bronx, NY 10465-1618
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.