Active NPI
Kimberly Sue Ridilla, RPH
- Pharmacist
- Greensburg, PA
National Provider Identifier
1215213715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP04176OL
- Practice address
- 4000 Hempfield Plaza Blvd
Suite 966
Greensburg, PA 15601-1483 - Phone
- (724) 836-8412
- Fax
- (800) 831-7979
- NPI assigned
- Oct 27, 2011
- Last updated
- Oct 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP04176OL | PA | Primary |
Addresses
Primary practice location
4000 Hempfield Plaza Blvd
Suite 966
Greensburg, PA 15601-1483
Mailing address
129 Ridilla Lakes LN
Greensburg, PA 15601-7739
Phone (724) 834-6973
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 |
|---|---|---|---|
| RP04176OL | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1215213715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 RIDILLA LAKES LN",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156017739",
"telephone_number": "724-834-6973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 HEMPFIELD PLAZA BLVD",
"address_2": "SUITE 966",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156011483",
"telephone_number": "724-836-8412",
"fax_number": "800-831-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDILLA",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP04176OL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, PA
- Richard Hoffman (Christian Counseling Associates of Eastern Ohio)
- Richard Hoffman (Christian Counseling Associates of Western PA)
- Brandon Michael Ricker, MS, NCC, LPC
- Jackie M Rider
- Hiedi Elizabeth Ridgway
- John Charles Ridinger, DMD
- Deborah Rietski, NCC, LPC
- Christina D Rife, MA, NCC
- Nicole Eden Riffle, RN
- Stephanie Sikora Rigous, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.