Active NPI
Kimberly Ann Flory, RPH
- Pharmacist
- Fort Myers, FL
National Provider Identifier
1346936408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41154
- Practice address
- 3677 Central Ave Ste a
Fort Myers, FL 33901-8226 - Phone
- (239) 243-9025
- Fax
- (877) 270-9723
- NPI assigned
- Apr 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS41154 | FL | Primary |
Addresses
Primary practice location
3677 Central Ave Ste a
Fort Myers, FL 33901-8226
Mailing address
11592 Stonecreek Cir
Fort Myers, FL 33913-9084
Phone (615) 482-7762
Other names 1
- Miss Kimberly Ann Chuska
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS41154 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prevent RX 2, LLC | Current | Accepting new patients |
Locations
3677 Central Ave
Ste A
Fort Myers, FL 33901
Phone (239) 243-9025
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Fort Myers, FL
- NPI 1265065783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1346936408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11592 STONECREEK CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339139084",
"telephone_number": "615-482-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3677 CENTRAL AVE STE A",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018226",
"telephone_number": "239-243-9025",
"fax_number": "877-270-9723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORY",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-12",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "CHUSKA",
"middle_name": "ANN",
"prefix": "MISS",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.