MR. KEN A KIMBALL RPH
NPI 1518506047
Pharmacist in Fort Wayne, IN

Active since January 01, 2020
2802 E STATE BLVD, FORT WAYNE, IN 46805(260) 471-5521 Get Directions Write a Review

NPPES record last updated: January 1, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Ken A Kimball Rph NPPES

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

MR. KEN A KIMBALL RPH (NPI 1518506047) is an individual pharmacist in Fort Wayne, Indiana, licensed in Indiana (26016357A) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1518506047
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KEN A KIMBALLCredential: RPH
Location Address2802 E STATE BLVDFort Wayne, IN 46805-4733
Mailing Address11606 Hardisty RdFort Wayne, IN 46845-9606
Sole ProprietorYes
Enumeration DateJanuary 1, 2020
NPI 1518506047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IN · 26016357A
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.

2802 E STATE BLVD, Fort Wayne, IN 46805

Other Providers at the Same Location NPPES 5

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

Pharmacist
2802 E STATE BLVD
FORT WAYNE, IN 46805
Pharmacist
2802 E STATE BLVD
FORT WAYNE, IN 46805
Pharmacist
2802 E STATE BLVD
FORT WAYNE, IN 46805
Pharmacist
2802 E STATE BLVD
FORT WAYNE, IN 46805
Pharmacy
2802 E STATE BLVD
FORT WAYNE, IN 46805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518506047, enumerated as an "individual" on January 01, 2020.

The provider is located at 2802 E STATE BLVD FORT WAYNE, IN 46805 and the phone number is (260) 471-5521.

Pharmacist with taxonomy code 183500000X.