Active NPI
Kim Newton, RPH
- Pharmacist
- Rialto, CA
National Provider Identifier
1376825661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35129
- Practice address
- 1280 W Foothill Blvd
Rialto, CA 92376-4686 - Phone
- (909) 879-0305
- Fax
- (909) 879-7822
- NPI assigned
- Sep 13, 2011
- Last updated
- Sep 13, 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 | 35129 | CA | Primary |
Addresses
Primary practice location
1280 W Foothill Blvd
Rialto, CA 92376-4686
Mailing address
1280 West Foothill Blvd
Rialto, CA 92376
Phone (909) 879-0305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184561788 | Other | CA | PHARMACY NPI |
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 |
|---|---|---|---|
| 35129 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1376825661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 WEST FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "92376",
"telephone_number": "909-879-0305",
"fax_number": "909-879-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 W FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764686",
"telephone_number": "909-879-0305",
"fax_number": "909-879-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "KIM",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "35129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY NPI",
"identifier": "1184561788",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.