Active NPI
Kelly Kemper, RPH
- Pharmacist
- Socorro, NM
National Provider Identifier
1477907335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5290
- Practice address
- 312 N California St
Socorro, NM 87801-4207 - Phone
- (505) 967-5033
- NPI assigned
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5290 | NM | Primary |
Addresses
Primary practice location
312 N California St
Socorro, NM 87801-4207
Mailing address
312 N California St
Socorro, NM 87801-4207
Phone (575) 835-2125
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5290 | NM | MD | Pharmacist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Socorro, NM
- NPI 1245688407
-
- Pharmacist
- Socorro, NM
- NPI 1811347594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485561600000",
"number": "1477907335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 N CALIFORNIA ST",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878014207",
"telephone_number": "575-835-2125",
"fax_number": "575-835-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 N CALIFORNIA ST",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878014207",
"telephone_number": "505-967-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMPER",
"first_name": "KELLY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2017-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "5290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.