Kimberley Ann Robertson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18555 Issued in NC

Practice address

941 Durham Rd
Wake Forest, NC 27587-8794

Phone

(919) 570-3249

Fax

(919) 570-3250

NPI assigned

Oct 8, 2009

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

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Wake Forest, NC
  • NPI 1568477651
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1487989422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 DURHAM RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878794",
            "telephone_number": "919-570-3249",
            "fax_number": "919-570-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 DURHAM RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878794",
            "telephone_number": "919-570-3249",
            "fax_number": "919-570-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KIMBERLEY",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920802",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rni Designs & Associates LLC
• Robert L. Hollowell III DDS MSD PLLC
• Kathryn Mills Roberts
• Rachel Marie Roberts, DPT
• Sherrie Roberts, PMHNP-BC
• Jennifer Robey
• Adrianne M Robinson, LCAS, LCSW
• Amy L Robinson, MD
• Sergio Rocamora
• Christopher Charles Cosmo Rocchio, LCSW

• Pharmacist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.