Individual provider Active NPI

Kimberly Lioy, PHARMD

  • Pharmacist
  • Tucson, AZ
National Provider Identifier
1245909662
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S025412 Issued in AZ
Practice address
2601 S Houghton Rd
Tucson, AZ 85730-1525
Phone
(520) 751-8523
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S025412 AZ Primary

Addresses

Primary practice location

2601 S Houghton Rd
Tucson, AZ 85730-1525

Mailing address

2601 S Houghton Rd
Tucson, AZ 85730-1525
Phone (520) 751-8523

Other identifiers 1

IdentifierTypeStateIssuer
D07502033MedicaidAZ

Other names 1

  • Dr. Kimberly Rasey Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CVS Pennsylvania CVS Pharmacy, L.L.C.

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

LicenseStateTypeSpecialty
S025412AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1245909662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301525",
            "telephone_number": "520-751-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301525",
            "telephone_number": "520-751-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIOY",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S025412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D07502033",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS",
            "affiliation": "Y",
            "affiliationName": "Pennsylvania CVS Pharmacy, L.L.C.",
            "address_1": "446 Sabattus St",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "04240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RASEY",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.