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1033707484 NPI number — KRISTIN ANNE PIMENTEL RPH

NPI Number: 1033707484
Health Care Provider/Practitioner: KRISTIN ANNE PIMENTEL RPH

Information about “1033707484” NPI (KRISTIN ANNE PIMENTEL RPH) exists in 1033707484 in HTML format HTML  |  1033707484 in plain Text format TXT  |  1033707484 in PDF (Portable Document Format) PDF  |  1033707484 in an XML format XML  formats.

NPI Number : 1033707484 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033707484",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PIMENTEL",
    "FirstName": "KRISTIN",
    "MiddleName": "ANNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1360 W MAIN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLETOWN",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02842-6301",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-849-9640",
    "MailingAddressFaxNumber": "401-849-0848",
    "FirstLinePracticeLocationAddress": "1360 W MAIN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLETOWN",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02842-6301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-849-9640",
    "PracticeLocationAddressFaxNumber": "401-849-0848",
    "EnumerationDate": "12/31/2020",
    "LastUpdateDate": "12/31/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "PH24862",
        "LicenseNumberStateCode": "RI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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