Kimberly Sue Burton, RPH, PHARM D – Pharmacist

Key facts

NPI: 1457570046
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 19682 (IA)
Practice address: 1005 Pennsylvania Ave Ste 108
Ottumwa, IA 52501-6408
Phone: (641) 684-2462
Fax: (641) 684-2465
NPI assigned: Apr 24, 2007
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy, Registered Pharmacist

State licenses

License	State	Type	Specialty
19682	IA	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	19682	IA	Yes

Addresses

Primary practice location

1005 Pennsylvania Ave Ste 108
Ottumwa, IA 52501-6408

Mailing address

901 S West St
Bloomfield, IA 52537-2139
Phone (641) 664-2126

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457570046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S WEST ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525372139",
            "telephone_number": "641-664-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE STE 108",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016408",
            "telephone_number": "641-684-2462",
            "fax_number": "641-684-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

All providers in Ottumwa, IA · Pharmacist in Iowa

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.