Kimberly St. John, RPH
Individual provider Active NPI Pharmacist · Cambridge, VT
NPI 1831783950 · NPPES record last updated Mar 1, 2021
Key facts
- NPI
- 1831783950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 033.0002996 (VT)
- Practice address
- 155 S Main St
Cambridge, VT 05444-9665 - Phone
- (802) 644-8811
- NPI assigned
- Mar 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033.0002996 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past |
Accepting new patients | |
| KPH Healthcare Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0002996 | VT | Yes |
Addresses
Primary practice location
155 S Main St
Cambridge, VT 05444-9665
Mailing address
10 Homestead Farm Rd
Jericho, VT 05465-2701
Phone (802) 343-8814
Other providers in Cambridge, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.