Active NPI
Kimberly Kay Lane
- Ambulatory Care Pharmacist
- Shavano Park, TX
National Provider Identifier
1235778887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 29311
- Practice address
- 200 Saddletree Rd
Shavano Park, TX 78231-1543 - Phone
- (210) 286-3554
- NPI assigned
- Dec 30, 2019
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 29311 | TX | Primary |
Addresses
Primary practice location
200 Saddletree Rd
Shavano Park, TX 78231-1543
Mailing address
200 Saddletree Rd
Shavano Park, TX 78231-1543
Phone (210) 286-3554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29311 | Other | TX | BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 29311 | TX | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1235778887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SADDLETREE RD",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782311543",
"telephone_number": "210-286-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SADDLETREE RD",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782311543",
"telephone_number": "210-286-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "KIMBERLY",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-30",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "29311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "29311",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shavano Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.