Kimberly Michelle Hanson, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH82823 Issued in CA

Practice address

11990 Los Osos Valley Rd
San Luis Obispo, CA 93405-6861

Phone

(805) 858-9903

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

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, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1790398352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 BUENA FORTUNA CIR",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934228861",
            "telephone_number": "559-917-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 LOS OSOS VALLEY RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056861",
            "telephone_number": "805-858-9903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 E Betteravia Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934547803",
            "country_code": "US",
            "telephone_number": "805-922-7184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Theatre Dr",
            "address_purpose": "LOCATION",
            "city": "Paso Robles",
            "state": "CA",
            "postal_code": "934469604",
            "country_code": "US",
            "telephone_number": "805-227-4304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH82823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn J Hansen, LCSW
• Megan Christine Hansen, AGACNP
• Stephen Lloyd Hansen, MD
• Christina Sloan Hanson
• Jana G Hanson, MD
• Patrick J. Haran, MD
• Joseph Trevor Hardcastle, LMFT
• Catherine Joy Hardin
• Julia-Anne Hardin
• Sara Hardisty

• Pharmacist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.