Individual provider Active NPI

Kimberly Ann Hamik, RP

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Kearney, NE
National Provider Identifier
1992394233
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
10498 Issued in NE
Practice address
3611 2ND Ave
Kearney, NE 68847-8104
Phone
(308) 455-1555
Fax
(308) 708-2699
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P0018X 10498 NE Primary

Addresses

Primary practice location

3611 2ND Ave
Kearney, NE 68847-8104

Mailing address

3611 2ND Ave
Kearney, NE 68847-8104
Phone (308) 455-1555

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pioneerrx Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
10498NEMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Inc Current Accepting new patients
J3A Inc Current Accepting new patients
J3A Inc Current Accepting new patients

Locations

3611 2nd Ave
Kearney, NE 68847
Phone (308) 234-1973

Organizations & group practices 3

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1992394233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478104",
            "telephone_number": "308-455-1555",
            "fax_number": "308-708-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478104",
            "telephone_number": "308-455-1555",
            "fax_number": "308-708-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NE",
            "license": "10498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pioneerrx",
            "affiliation": "N",
            "endpointDescription": "Work computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3611 2nd Ave",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688478104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.