Craig Kimbel

Primary specialty

PharmacistTaxonomy code 183500000X

License

043358 Issued in MO

Practice address

3721 W Truman Blvd
Jefferson City, MO 65109-6102

Phone

(573) 634-2628

Fax

(573) 635-1768

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1326782285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S WESTERN ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652356",
            "telephone_number": "573-253-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 W TRUMAN BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096102",
            "telephone_number": "573-634-2628",
            "fax_number": "573-635-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBEL",
        "first_name": "CRAIG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "043358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213410245",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1303pharmacymgr@hy-vee.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3721 W Truman Blvd",
            "city": "Jefferson City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "651096102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Satiapal L Khurana, LPN
• Nina Miller Kiekhaefer, M.D.
• Tina Lynn Kile, FNP-C
• Kilgore Respiratory Services Inc
• Andrea Gayle Kimball, LPC
• William R. Kimlinger, M.D.
• Kind Connections LLC
• Kindred Hospice Missouri, LLC (Gentiva)
• Austin Blake King, MD
• Megan King, D.O.

• Pharmacist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.