Active NPI
Kimberly Kiernan, PHARMD
- Pharmacist
- Palm Beach Shores, FL
National Provider Identifier
1992059869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS42829
- Practice address
- 176 Lake Dr Ste 1201
Palm Beach Shores, FL 33404-5788 - Phone
- (561) 294-6288
- NPI assigned
- Oct 31, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS42829 | FL | Primary |
Addresses
Primary practice location
176 Lake Dr Ste 1201
Palm Beach Shores, FL 33404-5788
Mailing address
PO Box 2585
Jupiter, FL 33468-2585
Phone (561) 294-6288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992059869 | Other | FL | NPI - NATIONAL PROVIDER ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS42829 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411776000000",
"number": "1992059869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2585",
"city": "JUPITER",
"state": "FL",
"postal_code": "334682585",
"telephone_number": "561-294-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 LAKE DR STE 1201",
"city": "PALM BEACH SHORES",
"state": "FL",
"postal_code": "334045788",
"telephone_number": "561-294-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERNAN",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2014-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI - NATIONAL PROVIDER ID",
"identifier": "1992059869",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.