Bret Kinne, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

23963 Issued in IA

Practice address

120 S Story St Ste C
Boone, IA 50036-4739

Phone

(515) 432-3460

Fax

(515) 432-7169

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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

• Kinne Family Pharmacy Inc

  dba Medical Associates Pharmacy

  • Long Term Care Pharmacy
  • Boone, IA
  • NPI 1043908999
  NPD
• Kinne Family Pharmacy Inc

  dba Medical Associates Pharmacy

  • Community/Retail Pharmacy
  • Boone, IA
  • NPI 1396782991
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1295348605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S STORY ST STE C",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364739",
            "telephone_number": "515-432-3460",
            "fax_number": "515-432-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S STORY ST STE C",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364739",
            "telephone_number": "515-432-3460",
            "fax_number": "515-432-7169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 S Marshall St",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "IA",
            "postal_code": "500365304",
            "country_code": "US",
            "telephone_number": "515-432-7123",
            "fax_number": "515-432-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNE",
        "first_name": "BRET",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel F Khan, DC
• Melinda J. Kimball-Gerritson
• Kinne Family Pharmacy Inc (Medical Associates Pharmacy)
• Kinne Family Pharmacy Inc (Clinic Pharmacy)
• Kinne Family Pharmacy Inc (Medical Associates Pharmacy)
• Wendy Ann Kinne, PHARMD
• Tessa Kleinwolterink, OTD, OTR/L
• Gregory Andrew Knudsen, PHARM. D.
• Mary Jo Koch
• Debra A. Koerner, LMHC, MAC

• Pharmacist in Boone, IA
• Providers in Boone, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.