Kimberlee Lynn Schuttpelz, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

ORRPH9107 Issued in OR

Practice address

414 SW 6TH St
Grants Pass, OR 97526-2810

Phone

(541) 476-4262

Fax

(541) 474-1443

NPI assigned

Mar 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1720352750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 W EVANS CREEK RD",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975374613",
            "telephone_number": "541-476-4262",
            "fax_number": "541-474-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262810",
            "telephone_number": "541-476-4262",
            "fax_number": "541-474-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTPELZ",
        "first_name": "KIMBERLEE",
        "middle_name": "LYNN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "ORRPH9107",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "9107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE NUMBER",
            "identifier": "9107",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Schroeder
• Jamie Schroeder
• Robert Dewayne Schroeder, DENTUREST L.D.
• Andy Lee Schultz
• Christina Ann Marie Schultz, LMT
• Maureen Schwartz
• Michael W Schwartz, O.D.
• Jane M. Schwehr, RN
• Adam Paul Schwent, PT, DPT
• Denise Marie Schwind, LVN/LPN

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.