Kimberli Jen DO, PHARM.D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

6710 Issued in FL

Practice address

2250 Bedford Rd
Orlando, FL 32803-1443

Phone

(407) 303-7572

Fax

(407) 303-9375

NPI assigned

Apr 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1477829679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 COMET CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658044",
            "telephone_number": "407-334-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 BEDFORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031443",
            "telephone_number": "407-303-7572",
            "fax_number": "407-303-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "KIMBERLI",
        "middle_name": "JEN",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "6710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "219727",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karolina DO Nascimento
• Anh V DO, O.D.
• Ann DO
• Bao DO, PHARMD
• Kieu P DO, PHARMD
• Mai Thi Kim DO
• Sandy DO, APRN
• Thien Quang DO, FNP-BC
• Van Anh DO, MD
• Vincent Minh DO, O.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.