Kimberley Lam Bienville, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60030817 Issued in WA

Practice address

11718 Meridian E
Puyallup, WA 98373-3544

Phone

(253) 770-6484

NPI assigned

Jan 13, 2012

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Puyallup, WA
  • NPI 1003821075
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1710258256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25465 SE 275TH PL",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980382037",
            "telephone_number": "206-491-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11718 MERIDIAN E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733544",
            "telephone_number": "253-770-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENVILLE",
        "first_name": "KIMBERLEY",
        "middle_name": "LAM",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60030817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Bettger
• Patrick C Beug, D.D.S.
• Rebecca Lynn Beutler, ED.D., LMHC
• Bethany Bevier, LMP
• Aparna Bhat, DMD
• Karen Marie Bier, LMHC CDP
• Paul M Billing, M.D.
• Jeffrey Billingsley, PT
• Brittney Bird, LMT
• Rebecca Christina Bird, MA CCC-SLP

• Pharmacist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.