Active NPI
Kimberly Lynne Bullen
- Pharmacist
- London, KY
National Provider Identifier
1235523606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017385
- Practice address
- 839 S Main St
London, KY 40741-1996 - Phone
- (606) 864-7368
- NPI assigned
- Mar 24, 2015
- 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 | 017385 | KY | Primary |
Addresses
Primary practice location
839 S Main St
London, KY 40741-1996
Mailing address
1112 Valley Run Dr
Richmond, KY 40475-3438
Phone (478) 335-0991
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017385 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1235523606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 VALLEY RUN DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753438",
"telephone_number": "478-335-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 S MAIN ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411996",
"telephone_number": "606-864-7368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLEN",
"first_name": "KIMBERLY",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "017385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.