Bethany Anne Kivin, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

050037-1 Issued in NY

Practice address

2201 Broadway
New York, NY 10024-6203

Phone

(212) 877-3480

NPI assigned

Feb 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• RG Drug Corp

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1225070857
  NPD (past)

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1609198639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246203",
            "telephone_number": "212-877-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVIN",
        "first_name": "BETHANY",
        "middle_name": "ANNE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050037-1",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Peter Kitz, M.D.
• Ryan Kitzen, DPT
• Saman Kiumehr, M.D.
• Siavash Kiumehr, DDS
• Yephat Kivetz, PHD
• Phillip Kivitz, M.D.
• Jane Isabella Kivnick
• Violetta Kivovich, M.D., PH.D.
• Danielle Lauren Kivovitz, LMSW
• Elizabeth Kiwanuka, M.D., PH.D.

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.