Active NPI
Kimberly Rae Wahl, PHARMD,BCACP
- Pharmacist
- Corpus Christi, TX
National Provider Identifier
1366730921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26024190A
- Practice address
- 5283 Old Brownsville Rd
Corpus Christi, TX 78405-3908 - Phone
- (361) 806-5600
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 26024190A | IN | Primary |
Addresses
Primary practice location
5283 Old Brownsville Rd
Corpus Christi, TX 78405-3908
Mailing address
5283 Old Brownsville Rd
Corpus Christi, TX 78405-3908
Phone (361) 806-5600
Other names 1
- Kimberly Rae Beckman
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 |
|---|---|---|---|
| 26024190A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1366730921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5283 OLD BROWNSVILLE RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784053908",
"telephone_number": "361-806-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5283 OLD BROWNSVILLE RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784053908",
"telephone_number": "361-806-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHL",
"first_name": "KIMBERLY",
"middle_name": "RAE",
"credential": "PHARMD,BCACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26024190A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "BECKMAN",
"middle_name": "RAE",
"credential": "PHARMD, BCACP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.