Active NPI
Kimberly Jean Anton, PHARM.D.
- Pharmacist
- Spokane, WA
National Provider Identifier
1316498397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00047956
- Practice address
- 4235 S Cheney Spokane Rd
Spokane, WA 99224-9661 - Phone
- (509) 462-5691
- Fax
- (509) 462-5694
- NPI assigned
- Oct 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00047956 | WA | Primary |
| Pharmacist | 183500000X | P5501 | ID |
Addresses
Primary practice location
4235 S Cheney Spokane Rd
Spokane, WA 99224-9661
Mailing address
4235 S Cheney Spokane Rd
Spokane, WA 99224-9661
Phone (509) 462-5691
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
| License | State | Type | Specialty |
|---|---|---|---|
| P5501 | ID | MD | Pharmacist |
| PH00047956 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1316498397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 S CHENEY SPOKANE RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992249661",
"telephone_number": "509-462-5691",
"fax_number": "509-462-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 S CHENEY SPOKANE RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992249661",
"telephone_number": "509-462-5691",
"fax_number": "509-462-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTON",
"first_name": "KIMBERLY",
"middle_name": "JEAN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-14",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00047956",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.