Individual provider Active NPI

Kim Larie McBeth, RPH

  • Pharmacist
  • Massillon, OH
National Provider Identifier
1538472469
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03313378 Issued in OH
Practice address
2600 Lincoln Way E
Massillon, OH 44646-5055
Phone
(330) 833-1023
Fax
(330) 833-2339
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03313378 OH Primary

Addresses

Primary practice location

2600 Lincoln Way E
Massillon, OH 44646-5055

Mailing address

9285 Hocking St NW
Massillon, OH 44646-7842
Phone (330) 854-9968

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

LicenseStateTypeSpecialty
03313378OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1538472469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9285 HOCKING ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467842",
            "telephone_number": "330-854-9968",
            "fax_number": "330-854-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446465055",
            "telephone_number": "330-833-1023",
            "fax_number": "330-833-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBETH",
        "first_name": "KIM",
        "middle_name": "LARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03313378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.