Individual provider Active NPI

Kim Renee Talsma, RPH

  • Pharmacist
  • Pratt, KS
National Provider Identifier
1407444797
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-10301 Issued in KS
Practice address
420 Country Club Rd
Pratt, KS 67124-3125
Phone
(620) 672-7447
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-10301 KS Primary

Addresses

Primary practice location

420 Country Club Rd
Pratt, KS 67124-3125

Mailing address

10172 SW 50TH St
Pratt, KS 67124-8132
Phone (806) 983-8092

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
1-10301KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1407444797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10172 SW 50TH ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671248132",
            "telephone_number": "806-983-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COUNTRY CLUB RD",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243125",
            "telephone_number": "620-672-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALSMA",
        "first_name": "KIM",
        "middle_name": "RENEE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-10301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pratt, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.