Active NPI
Kathy Kieu
- Pharmacist
- Santa Maria, CA
National Provider Identifier
1770852642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH66147
- Practice address
- 2399 S Broadway
Santa Maria, CA 93454-7832 - Phone
- (805) 928-4633
- NPI assigned
- Dec 22, 2011
- 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 | RPH66147 | CA | Primary |
Addresses
Primary practice location
2399 S Broadway
Santa Maria, CA 93454-7832
Mailing address
2399 S Broadway
Santa Maria, CA 93454-7832
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH66147 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1770852642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2399 S BROADWAY",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2399 S BROADWAY",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547832",
"telephone_number": "805-928-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEU",
"first_name": "KATHY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH66147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.