Individual provider Active NPI

Dawn Kimberly Palmer, PHARMD. RPH

  • Pharmacist
  • Madison, WI
National Provider Identifier
1922347491
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12871-40 Issued in WI
Practice address
4198 Nakoosa TRL.
Madison, WI 53714-3399
Phone
(608) 241-8808
Fax
(608) 241-7882
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12871-40 WI Primary

Addresses

Primary practice location

4198 Nakoosa TRL.
Madison, WI 53714-3399

Mailing address

2650 Novation Pkwy
Suite 400
Madison, WI 53713-3399
Phone (608) 417-4665

Other names 1

  • Ms. Dawn Kimberly Goebel Former name

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

LicenseStateTypeSpecialty
12871-40WIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1922347491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 NOVATION PKWY",
            "address_2": "SUITE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133399",
            "telephone_number": "608-417-4665",
            "fax_number": "608-327-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4198 NAKOOSA TRL.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537143399",
            "telephone_number": "608-241-8808",
            "fax_number": "608-241-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DAWN",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PHARMD. RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12871-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "GOEBEL",
            "middle_name": "KIMBERLY",
            "prefix": "MS.",
            "credential": "PHARMD RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.