Individual provider Active NPI

Kimberly Ann Dimpel, R.PH.

  • Pharmacist
  • Canonsburg, PA
National Provider Identifier
1750124962
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP041785L Issued in PA
Practice address
1 N Central Ave
Canonsburg, PA 15317-1301
Phone
(724) 745-6480
Fax
(724) 916-4957
NPI assigned
Jun 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP041785L PA Primary

Addresses

Primary practice location

1 N Central Ave
Canonsburg, PA 15317-1301

Mailing address

1 N Central Ave
Canonsburg, PA 15317-1301
Phone (724) 745-6480

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

LicenseStateTypeSpecialty
RP041785LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1750124962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N CENTRAL AVE",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171301",
            "telephone_number": "724-745-6480",
            "fax_number": "724-916-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N CENTRAL AVE",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171301",
            "telephone_number": "724-745-6480",
            "fax_number": "724-916-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMPEL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP041785L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; 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.