Active NPI
Wendy Ann Kinne, PHARMD
- Pharmacist
- Boone, IA
National Provider Identifier
1609920602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- IA18028
- Practice address
- 120 S Story St
Boone, IA 50036-4739 - Phone
- (515) 432-3460
- Fax
- (515) 432-7169
- NPI assigned
- Jan 23, 2007
- Last updated
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IA18028 | IA | Primary |
Addresses
Primary practice location
120 S Story St
Boone, IA 50036-4739
Mailing address
1256 Noble Hills PL
Boone, IA 50036-7569
Phone (515) 230-5517
Other practice location 1
1115 S Marshall St
Boone, IA 50036-5304
Phone (515) 432-7123
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IA18028 | IA | MD | Pharmacist |
Organizations & group practices 3
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.
-
dba Medical Associates Pharmacy
- Long Term Care Pharmacy
- Boone, IA
- NPI 1043908999
-
dba Medical Associates Pharmacy
- Community/Retail Pharmacy
- Boone, IA
- NPI 1396782991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1609920602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 NOBLE HILLS PL",
"city": "BOONE",
"state": "IA",
"postal_code": "500367569",
"telephone_number": "515-230-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S STORY ST",
"city": "BOONE",
"state": "IA",
"postal_code": "500364739",
"telephone_number": "515-432-3460",
"fax_number": "515-432-7169"
}
],
"practiceLocations": [
{
"address_1": "1115 S Marshall St",
"address_purpose": "LOCATION",
"city": "Boone",
"state": "IA",
"postal_code": "500365304",
"country_code": "US",
"telephone_number": "515-432-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINNE",
"first_name": "WENDY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "IA18028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boone, IA
- Melinda J. Kimball-Gerritson
- Kinne Family Pharmacy Inc (Medical Associates Pharmacy)
- Kinne Family Pharmacy Inc (Clinic Pharmacy)
- Kinne Family Pharmacy Inc (Medical Associates Pharmacy)
- Bret Kinne, PHARMD
- Tessa Kleinwolterink, OTD, OTR/L
- Gregory Andrew Knudsen, PHARM. D.
- Mary Jo Koch
- Debra A. Koerner, LMHC, MAC
- Lori A Krome, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.