Active NPI
Kimberly Kay Sandoval, R.PH.
- Critical Care Pharmacist
- Cedar Park, TX
National Provider Identifier
1629862156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- 34874
- Practice address
- 1401 Medical Pkwy
Cedar Park, TX 78613-7763 - Phone
- (512) 528-7081
- Fax
- (512) 528-7084
- NPI assigned
- Apr 8, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Critical Care Pharmacist | 1835C0205X | 34874 | TX | Primary |
Addresses
Primary practice location
1401 Medical Pkwy
Cedar Park, TX 78613-7763
Mailing address
1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7081
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34874 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Park Health Systems LP | Current | Accepting new patients | |
| Cedar Park Health System LLC | Current | Accepting new patients |
Locations
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Cedar Park, TX
- NPI 1376662296
-
- Occupational Medicine Physician
- Cedar Park, TX
- NPI 1720344500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1629862156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 MEDICAL PKWY",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137763",
"telephone_number": "512-528-7081",
"fax_number": "512-528-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MEDICAL PKWY",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137763",
"telephone_number": "512-528-7081",
"fax_number": "512-528-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "KIMBERLY",
"middle_name": "KAY",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "TX",
"license": "34874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.