Kimberly Ann Kornbluth, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04132700 Issued in NJ

Practice address

5 Benner CT
Bridgewater, NJ 08807-1951

Phone

(908) 229-8709

NPI assigned

Jun 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1306413752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BENNER CT",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071951",
            "telephone_number": "908-229-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BENNER CT",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071951",
            "telephone_number": "908-229-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBLUTH",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04132700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJBOP",
            "identifier": "28RI04132700",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim.kornbluth@rutgers.edu",
            "affiliation": "N",
            "address_1": "5 Benner Ct",
            "city": "Bridgewater",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088071951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle J Koczon Sr., LCSW
• Laura Elizabeth Koller, BA
• Lindsay Komar
• Nicholaus Gladstone Komla-Aza
• Sandhya R Kondapaneni
• Rachel M Kornmann, MA, LAC
• Eleni Kozas
• Diane Rae Krasner, LPC
• Lauren Krewsun
• John P Kripsak, D.O.

• Pharmacist in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.