Active NPI
Kim Edwin Kramer, R.PH.
- Pharmacist
- Rockwell City, IA
National Provider Identifier
1992733679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14560
- Practice address
- 507 E Lake St
Rockwell City, IA 50579-1711 - Phone
- (712) 297-7337
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 14560 | IA | Primary |
Addresses
Primary practice location
507 E Lake St
Rockwell City, IA 50579-1711
Mailing address
800 W Madison St
Lake City, IA 51449-1021
Phone (712) 464-7429
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14560 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1992733679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W MADISON ST",
"city": "LAKE CITY",
"state": "IA",
"postal_code": "514491021",
"telephone_number": "712-464-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 E LAKE ST",
"city": "ROCKWELL CITY",
"state": "IA",
"postal_code": "505791711",
"telephone_number": "712-297-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "KIM",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "14560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwell City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.