Individual provider Active NPI

Kimberly Ann Flory, RPH

  • Pharmacist
  • Fort Myers, FL
National Provider Identifier
1346936408
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS41154 Issued in FL
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

Updated by the provider on Apr 12, 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 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 Former name

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

LicenseStateTypeSpecialty
PS41154FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prevent RX 2, LLC CurrentSince Apr 16, 2023 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.

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.

Verify at the official NPI Registry.