Active NPI
Kim Allen, RPH
- Pharmacist
- San Diego, CA
National Provider Identifier
1790771186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44113
- Practice address
- 2001 4TH Ave
Sharp Rees Stealy Pharmacy
San Diego, CA 92101-2303 - Phone
- (619) 446-1515
- NPI assigned
- Sep 21, 2005
- 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 | 44113 | CA | Primary |
Addresses
Primary practice location
2001 4TH Ave
Sharp Rees Stealy Pharmacy
San Diego, CA 92101-2303
Mailing address
2770 2ND Ave
#308
San Diego, CA 92103-6230
Phone (619) 857-2055
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44113 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1790771186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 2ND AVE",
"address_2": "#308",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036230",
"telephone_number": "619-857-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 4TH AVE",
"address_2": "SHARP REES STEALY PHARMACY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012303",
"telephone_number": "619-446-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KIM",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-21",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "44113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.