Kimberly Jane Comito, RPH

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

PH00014278 Issued in WA

Practice address

1002 15TH St SW Ste 101
Auburn, WA 98001-6502

Phone

(253) 876-8608

Fax

(253) 333-2389

NPI assigned

Jul 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1922586023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 15TH ST SW STE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980016502",
            "telephone_number": "253-876-8608",
            "fax_number": "253-333-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 15TH ST SW STE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980016502",
            "telephone_number": "253-876-8608",
            "fax_number": "253-333-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMITO",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "WA",
            "license": "PH00014278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH0014278",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Care Pharmacist in Auburn, WA
• Providers in Auburn, WA by specialty
• Ambulatory Care Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.