KIMBERLY ANNE WILDERMUTH PHARMD
NPI 1407039449
Pharmacist in Brockport, NY

Active since December 13, 2007
73 N MAIN ST, BIG M SHOPPING CENTER, BROCKPORT, NY 14420(585) 637-1151 Get Directions Write a Review

NPPES record last updated: February 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Anne Wildermuth Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANNE WILDERMUTH PHARMD (NPI 1407039449) is an individual pharmacist in Brockport, New York, licensed in New York (051620) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1407039449
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKIMBERLY ANNE WILDERMUTHCredential: PHARMD
Location Address73 N MAIN ST, BIG M SHOPPING CENTERBrockport, NY 14420-1648
Mailing Address73 N Main St, Big M Shopping CenterBrockport, NY 14420-1648 · (585) 637-1151
Sole ProprietorNo
Enumeration DateDecember 13, 2007
Last NPPES UpdateFebruary 19, 2010
NPI 1407039449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 051620
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
73 N MAIN ST, Brockport, NY 14420

Other Identifiers 1

Medicaid01259003NY

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
73 N MAIN ST
BROCKPORT, NY 14420
Pharmacist
73 N MAIN ST
BROCKPORT, NY 14420
Pharmacist
73 N MAIN ST
BROCKPORT, NY 14420
Pharmacist
73 N MAIN ST
BROCKPORT, NY 14420
Pharmacist
73 N MAIN ST
BROCKPORT, NY 14420
Pharmacist
73 N MAIN ST
BROCKPORT, NY 14420
Pharmacist
73 N MAIN ST
BROCKPORT, NY 14420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Wildermuth's NPI number?

The NPI number for Kimberly Wildermuth is 1407039449. It was assigned to this individual provider in the NPPES registry on December 13, 2007.

Where is Kimberly Wildermuth located?

Kimberly Wildermuth practices at 73 N Main St Big M Shopping Center, Brockport, NY 14420. The listed phone number is (585) 637-1151.

What is Kimberly Wildermuth's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kimberly Wildermuth was last updated on February 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.