Active NPI
Kerri J Kilgore, PHARM.D.
- Pharmacist
- Scottsbluff, NE
National Provider Identifier
1184743718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10762
- Practice address
- 3911 Avenue B
Suite M-200
Scottsbluff, NE 69361-4617 - Phone
- (308) 630-1900
- Fax
- (308) 630-1969
- NPI assigned
- Mar 28, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10762 | NE | Primary |
| Pharmacist | 183500000X | 2272 | WY |
Addresses
Primary practice location
3911 Avenue B
Suite M-200
Scottsbluff, NE 69361-4617
Mailing address
222 Hillcrest Dr
Torrington, WY 82240-2615
Phone (307) 532-5640
Other names 1
- Kerri J Vandel
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 |
|---|---|---|---|
| 10762 | NE | MD | Social Worker |
| 2272 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184743718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 HILLCREST DR",
"city": "TORRINGTON",
"state": "WY",
"postal_code": "822402615",
"telephone_number": "307-532-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 AVENUE B",
"address_2": "SUITE M-200",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614617",
"telephone_number": "308-630-1900",
"fax_number": "308-630-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "KERRI",
"middle_name": "J",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "10762",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "2272",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRI",
"last_name": "VANDEL",
"middle_name": "J",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.