Individual provider Active NPI

Sandra Friedline Kimmel, RPH

  • Pharmacist
  • Somerset, PA
National Provider Identifier
1962457523
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP033599L Issued in PA
Practice address
168 W Main St
Somerset, PA 15501-2038
Phone
(814) 445-6511
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 RP033599L PA Primary

Addresses

Primary practice location

168 W Main St
Somerset, PA 15501-2038

Mailing address

265 Blossom View HTS
Somerset, PA 15501
Phone (814) 445-6598

Other practice location 1

1650 Menoher Blvd
Johnstown, PA 15905-2058
Phone (814) 255-2792

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

LicenseStateTypeSpecialty
RP033599LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Findleys Pharmacy Inc LTC PastSince Jun 16, 2024 Accepting new patients
Findleys Pharmacy Inc Past Accepting new patients
Pennsylvania CVS Pharmacy LLC Past Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1962457523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BLOSSOM VIEW HTS",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501",
            "telephone_number": "814-445-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 W MAIN ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012038",
            "telephone_number": "814-445-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Menoher Blvd",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159052058",
            "country_code": "US",
            "telephone_number": "814-255-2792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "SANDRA",
        "middle_name": "FRIEDLINE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP033599L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.