Active NPI
Kimberly White-Faull, RPH
- Pharmacist
- Platteville, WI
National Provider Identifier
1902272545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12164-40
- Practice address
- 1450 Eastside Rd
Suite 130
Platteville, WI 53818-9800 - Phone
- (608) 342-6200
- NPI assigned
- Aug 18, 2015
- 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 | 12164-40 | WI | Primary |
| Pharmacist | 183500000X | 20089 | IA |
Addresses
Primary practice location
1450 Eastside Rd
Suite 130
Platteville, WI 53818-9800
Mailing address
1450 Eastside Rd
Suite 130
Platteville, WI 53818-9800
Phone (608) 342-6200
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 |
|---|---|---|---|
| 20089 | IA | MD | Pharmacist |
| 12164-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1902272545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 EASTSIDE RD",
"address_2": "SUITE 130",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538189800",
"telephone_number": "608-342-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 EASTSIDE RD",
"address_2": "SUITE 130",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538189800",
"telephone_number": "608-342-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE-FAULL",
"first_name": "KIMBERLY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12164-40",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20089",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Platteville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.