KIMBERLY PHARMACY, INC.
NPI 1447311246
Pharmacy - Community/Retail Pharmacy in Kimberly, WI

Q: What is Kimberly Pharmacy, Inc.'s NPI number?

The NPI number for Kimberly Pharmacy, Inc. is 1447311246. It was assigned to this organization in the NPPES registry on December 13, 2006.

Q: What is Kimberly Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since December 13, 2006

110 E KIMBERLY AVE, KIMBERLY, WI 54136(920) 788-1940(920) 788-3373 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kimberly Pharmacy, Inc. NPPES

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

KIMBERLY PHARMACY, INC. (NPI 1447311246) is a healthcare organization registered as a community/retail pharmacy in Kimberly, Wisconsin and active in the NPI registry since December 2006. The organization lists Keith John Van Asten, President, as its authorized official.

NPPES Registry Identity

NPI1447311246

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKIMBERLY PHARMACY, INC.

Location Address110 E KIMBERLY AVEKimberly, WI 54136-1401

Mailing Address110 E Kimberly AveKimberly, WI 54136-1401 · (920) 788-1940 · Fax (920) 788-3373

Phone(920) 788-1940

Fax(920) 788-3373

Organization SubpartNo

Authorized OfficialKeith John Van AstenPresident · (920) 788-1940

Enumeration DateDecember 13, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1447311246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WI · 5651-042

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

110 E KIMBERLY AVE, Kimberly, WI 54136

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Other Identifiers 3

Medicaid33078300WI

Other5103887Ncpdp #

Other5651-042WI · Pharmacy License #

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 Pharmacy, Inc.'s NPI number?

The NPI number for Kimberly Pharmacy, Inc. is 1447311246. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Kimberly Pharmacy, Inc. located?

Kimberly Pharmacy, Inc. is located at 110 E Kimberly Ave, Kimberly, WI 54136. The listed phone number is (920) 788-1940.

What is Kimberly Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Kimberly Pharmacy, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.