Individual provider Active NPI

Kelsey Kiwala, PHARMD

  • Pharmacist
  • Marion, IA
National Provider Identifier
1316620107
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24812 Issued in IA
Practice address
3495 Seventh Ave
Marion, IA 52302
Phone
(319) 373-0430
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24812 IA Primary

Addresses

Primary practice location

3495 Seventh Ave
Marion, IA 52302

Mailing address

1309 Beringer CT NE
Cedar Rapids, IA 52402-8003

Other practice location 1

1309 Beringer Ct NE
Cedar Rapids, IA 52402-8003
Phone (319) 721-2549

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
24812IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa CVS Pharmacy LLC PastSince Aug 13, 2023 Accepting new patients
Iowa CVS Pharmacy, LLC PastSince Aug 13, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1316620107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 BERINGER CT NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524028003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 SEVENTH AVE",
            "city": "MARION",
            "state": "IA",
            "postal_code": "52302",
            "telephone_number": "319-373-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Beringer Ct NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524028003",
            "country_code": "US",
            "telephone_number": "319-721-2549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIWALA",
        "first_name": "KELSEY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "24812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.