KIMBERLY ANNE VANDEYACHT PHARMD
NPI 1922981059
Pharmacist in Green Bay, WI

Active since July 28, 2025
1110 KEPLER DR, GREEN BAY, WI 54311(920) 873-6020 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Anne Vandeyacht Pharmd NPPES

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

KIMBERLY ANNE VANDEYACHT PHARMD (NPI 1922981059) is an individual pharmacist in Green Bay, Wisconsin, licensed in Wisconsin (15400-40) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1922981059
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKIMBERLY ANNE VANDEYACHTCredential: PHARMD
Location Address1110 KEPLER DRGreen Bay, WI 54311-8306
Mailing Address1110 Kepler DrGreen Bay, WI 54311-8306 · (920) 873-6020
Sole ProprietorNo
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 16, 2025
NPI 1922981059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 15400-40
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.
1110 KEPLER DR, Green Bay, WI 54311

Other Providers at the Same Location NPPES 20

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

Physician Assistant
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Medicine & Rehabilitation (Sports Medicine)
1110 KEPLER DR
GREEN BAY, WI 54311
Orthopaedic Surgery
1110 KEPLER DR
GREEN BAY, WI 54311
Nurse Practitioner
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Medicine & Rehabilitation
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Therapy Assistant
1110 KEPLER DR
GREEN BAY, WI 54311

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 Vandeyacht's NPI number?

The NPI number for Kimberly Vandeyacht is 1922981059. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Kimberly Vandeyacht located?

Kimberly Vandeyacht practices at 1110 Kepler Dr, Green Bay, WI 54311. The listed phone number is (920) 873-6020.

What is Kimberly Vandeyacht'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 Vandeyacht was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.