Kimberly Iley

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

232234 Issued in TX

Practice address

2150 W Washington St
Stephenville, TX 76401-3928

Phone

(254) 965-2267

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H-E-B, LP

  • Community/Retail Pharmacy
  • Georgetown, TX
  • NPI 1770393217
  NPD (past)
• H-E-B, LP

  • Community/Retail Pharmacy
  • Stephenville, TX
  • NPI 1831208255
  NPD (past)

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1235728650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013928",
            "telephone_number": "254-965-2267",
            "fax_number": "254-965-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013928",
            "telephone_number": "254-965-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILEY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "232234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "address_1": "2150 W Washington St",
            "city": "Stephenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "764013928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alayshia Mauricia-Shavonna Hunter
• Ryinh Hunter
• Krista Kay Hutchison, PHARM D
• Long Buu Huynh
• Arthur Chidi Igbo, MD
• Innovation Recovery Resource
• Patsy Inocencio, LVN
• Kam Ip, M.D.
• Jack Jones Hearing Centers, Inc
• Cali Jackson, MS, CCC-SLP

• All providers in Stephenville, TX
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.