Active NPI
Kimberlee R Rodriguez, PHARMD
- Pharmacist
- Pasadena, CA
National Provider Identifier
1871672261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52388
- Practice address
- 1864 E Washington Blvd Ste 105
Pasadena, CA 91104-1667 - Phone
- (626) 398-1696
- NPI assigned
- Nov 4, 2006
- 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 | 52388 | CA | Primary |
Addresses
Primary practice location
1864 E Washington Blvd Ste 105
Pasadena, CA 91104-1667
Mailing address
135 San Miguel Dr
Arcadia, CA 91007-3017
Phone (818) 486-9574
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ntegrous Core Corporation | Current | Accepting new patients | |
| California PHRM Serv Inc | Past | Accepting new patients |
Locations
1864 E Washington Blvd
Ste 105
Pasadena, CA 91104
Phone (626) 398-1696
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Anderson Pharmacy
- Community/Retail Pharmacy
- Pasadena, CA
- NPI 1336230010
-
dba Arrow Medical Pharmacy
- Community/Retail Pharmacy
- Azusa, CA
- NPI 1376639195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1871672261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 SAN MIGUEL DR",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073017",
"telephone_number": "818-486-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1864 E WASHINGTON BLVD STE 105",
"city": "PASADENA",
"state": "CA",
"postal_code": "911041667",
"telephone_number": "626-398-1696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KIMBERLEE",
"middle_name": "R",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-04",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "52388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.