Active NPI
Kathleen Wild Kirkham, PHARMD, RPH
- Pharmacist
- Burleson, TX
National Provider Identifier
1871193946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53134
- Practice address
- 951 SW Wilshire Blvd
Burleson, TX 76028-5714 - Phone
- (817) 447-2307
- NPI assigned
- Oct 28, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15883 | OK | |
| Pharmacist | 183500000X | 53134 | TX | Primary |
Addresses
Primary practice location
951 SW Wilshire Blvd
Burleson, TX 76028-5714
Mailing address
951 SW Wilshire Blvd
Burleson, TX 76028-5714
Phone (817) 447-2307
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15883 | OK | MD | Pharmacist |
| 53134 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1871193946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 SW WILSHIRE BLVD",
"city": "BURLESON",
"state": "TX",
"postal_code": "760285714",
"telephone_number": "817-447-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 SW WILSHIRE BLVD",
"city": "BURLESON",
"state": "TX",
"postal_code": "760285714",
"telephone_number": "817-447-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKHAM",
"first_name": "KATHLEEN",
"middle_name": "WILD",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15883",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.