Kylie Patricia Mitchell, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

80474 Issued in CA

Practice address

8852 Lakewood Dr
Windsor, CA 95492-9595

Phone

(707) 838-4319

NPI assigned

Sep 11, 2019

Last updated

Sep 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Raleys

  • Community/Retail Pharmacy
  • Windsor, CA
  • NPI 1003926767
  NPD (past)
• Raleys

  • Community/Retail Pharmacy
  • Galt, CA
  • NPI 1174633820
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1437708492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3987 MISSOURI FLAT ROAD STE 340",
            "address_2": "BOX 226",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675253",
            "telephone_number": "530-409-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8852 LAKEWOOD DR",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929595",
            "telephone_number": "707-838-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KYLIE",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James McAleer, RN
• Mealani Smith Licensed Clinical Social Worker PC (Embodied self therapy)
• Pamela Anne Meehan Moulton
• Carolyn Miles, OTR/L
• Martin Miller, MAC, LAC, DIP OM
• Kurt David Mitchler, D.D.S.
• Rachelle Renee Moberg, D.P.T
• Mohammed Alroshaidan, DDS, a Professional Corporation (Affordable Dentures & Implants - Santa Rosa)
• Sergio Aquiles Monraz, D.D.S.
• Kekoa Morgan

• Pharmacist in Windsor, CA
• Providers in Windsor, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.