Kim Ann Triebell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS36465 Issued in FL

Practice address

961 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4907

Phone

(321) 773-6326

NPI assigned

Sep 23, 2006

Last updated

Aug 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Publix

  • Pharmacist
  • Satellite Beach, FL
  • NPI 1043698517
  NPD (past)

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1508966292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 HIGHWAY A1A",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372342",
            "telephone_number": "321-773-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 E EAU GALLIE BLVD",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374907",
            "telephone_number": "321-773-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEBELL",
        "first_name": "KIM",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS36465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Clarence Thessen, MD
• Luann Kay Thompson, BSW
• Theresa Lynn Thompson, RMHCI
• Timothy C. Lang, DDS, MD, PA
• Inez Maria Tinsley-Dalton, M.D.
• Nicole Kristine Trio, PA-C
• Crystal Turman, LCSW
• Adrian Elaine Tuttle, FNP
• Amber Tuttle
• Jessica Tyson-Dumbiri

• Pharmacist in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.