Kimberly Jarely Aguilar, PHARMD

Key facts

NPI

1295551752

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

90035 (CA)

Practice address

1707 Grant Ave
Novato, CA 94945-2229

Phone

(415) 897-4171

NPI assigned

Dec 2, 2024

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Longs Drug Stores California LLC Pharmacy · Novato, CA · NPI 1427090240
  NPD (past)
• Longs Drug Store California LLC Pharmacy · Kapolei, HI · NPI 1700565793
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2024.

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1295551752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 SCOTT AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632934",
            "telephone_number": "650-722-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 GRANT AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452229",
            "telephone_number": "415-897-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "KIMBERLY",
        "middle_name": "JARELY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "90035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea Aduna, DMD, MPH
• Kathleen Aguilera, AMFT
• Aalyah Leanna Aguon
• Adeel Ahmad
• Afsheen Ahmad, PHARMD
• John Nicholas Ahrens, AMFT

All providers in Novato, CA · Pharmacist in California