Kimberley J Romack, RPH

Individual provider Active NPI Pharmacist · White River Junction, VT

NPI 1487840344 · NPPES record last updated Sep 24, 2007

Key facts

NPI
1487840344
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
R1995 (NH)
Practice address
215 N Main St
White River Junction, VT 05009-0001
Phone
(802) 296-5144
NPI assigned
Sep 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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
R1995NHMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X R1995 NH Yes

Addresses

Primary practice location

215 N Main St
White River Junction, VT 05009-0001

Mailing address

215 N Main St
White River Junction, VT 05009-0001
Phone (802) 296-5144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 24, 2007.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1487840344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050090001",
            "telephone_number": "802-296-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050090001",
            "telephone_number": "802-296-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMACK",
        "first_name": "KIMBERLEY",
        "middle_name": "J",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R1995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

All providers in White River Junction, VT · Pharmacist in Vermont

Sources for this page

Verify at the official NPI Registry.