Individual provider Active NPI

Kim Morese, RPH

  • Pharmacist
  • Milford, MA
National Provider Identifier
1437536141
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH22315 Issued in MA
Practice address
25 Birch St
BLG B, Suite 100
Milford, MA 01757-3585
Phone
(909) 799-4374
Fax
(909) 799-4364
NPI assigned
May 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH22315 MA Primary

Addresses

Primary practice location

25 Birch St
BLG B, Suite 100
Milford, MA 01757-3585

Mailing address

25 Birch St
BLG B, Suite 100
Milford, MA 01757-3585
Phone (909) 799-4374

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
PH22315MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1437536141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BIRCH ST",
            "address_2": "BLG B, SUITE 100",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573585",
            "telephone_number": "909-799-4374",
            "fax_number": "909-799-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BIRCH ST",
            "address_2": "BLG B, SUITE 100",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573585",
            "telephone_number": "909-799-4374",
            "fax_number": "909-799-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORESE",
        "first_name": "KIM",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH22315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.