Active NPI
Kimberly Bloomer, RPH
- Pharmacist
- Naples, FL
National Provider Identifier
1912249442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0028971
- Practice address
- 4673 9TH St N
Naples, FL 34103-3004 - Phone
- (239) 649-6686
- NPI assigned
- Mar 22, 2013
- Last updated
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- No
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 | PS0028971 | FL | Primary |
Addresses
Primary practice location
4673 9TH St N
Naples, FL 34103-3004
Mailing address
875 22ND St NE
Naples, FL 34120-3684
Phone (239) 595-4635
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 |
|---|---|---|---|
| PS0028971 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1912249442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 22ND ST NE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341203684",
"telephone_number": "239-595-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4673 9TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033004",
"telephone_number": "239-649-6686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOMER",
"first_name": "KIMBERLY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-22",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0028971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.