KIMBERLY RAE WAHL (NPI# 1366730921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366730921 |
| Entity Type | Individual |
| Full Name | KIMBERLY RAE WAHL |
| Other Name | KIMBERLY RAE BECKMAN |
| Credential | PHARMD,BCACP |
| Practice Address |
5283 Old Brownsville Rd Corpus Christi TX 78405-3908 |
| Practice Telephone | 3618065600 |
| Mailing Telephone | 3618065600 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26024190A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790295921 | Kimberly Ann Wahl | Speech-Language Pathologist | 1301 Springdale Cir, Naperville, IL 60564-8729 | 2017-10-02 |
| 1194295063 | Kimberly Wahl | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2018-12-04 |
| 1700267994 | Kimberly Wahl | Nurse Practitioner | 200 S Houston Lake Rd, Warner Robins, GA 31088-9006 | 2015-06-12 |
| Street Address |
5283 OLD BROWNSVILLE RD |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78405-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189838 | Victor Melgoza | Family Medicine | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2005-07-29 |
| 1619578499 | Neli Stoycheva | Psychologist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2020-11-06 |
| 1346859097 | Hannah E Rodriguez | Social Worker | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2020-07-29 |
| 1003433152 | Dannee Truong | Pharmacist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2020-07-05 |
| 1407499478 | Adam Clark | Psychologist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2019-10-23 |
| 1568929321 | Nephaterria A Harris | Counselor | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2019-02-27 |
| 1053760736 | Jeffrey Luke | Pharmacist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2016-06-03 |
| 1376916957 | Misti Elise White | Social Worker | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2015-11-04 |
| 1831575737 | Kendra Gonzalez | Pharmacist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2015-08-03 |
| 1255716551 | Karlye Lynette Pesci Trevino | Pharmacist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2015-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083147938 | Joshua Abraham Betancourt | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd.,5 West, Corpus Christi, TX 78405 | 2017-04-07 |
| 1407303068 | Ray Fernandez | Independent Medical Examiner | 2610 Hospital Blvd, Medical Examiner Dept, Corpus Christi, TX 78405 | 2016-09-01 |
| 1255787776 | Paul David Crapo | Emergency Medicine | 2606 Hospital Blvd., 5 West, Corpus Christi, TX 78405 | 2016-05-13 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1003234493 | Alma S Rigona, M.d., P.a. | Pediatrics | 2418 Morgan Avenue, Corpus Christi, TX 78405 | 2014-04-02 |
| 1780022491 | Texas A&m Health Science Center-coastal Bend Health Education Center | Nutritionist | 4101 Old Brownsville Road, Hs1 Building, Suite 262, Corpus Christi, TX 78405 | 2013-06-05 |
| 1902240278 | Alberto Pasillas | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405 | 2013-04-17 |
| 1104142264 | Alainya Vollmering Tomanec | Emergency Medicine | 2606 Hospital Blvd # 5w, Corpus Christi, TX 78405 | 2010-04-14 |
| 1427298843 | E&l Construction | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2823 Coleman St, Corpus Christi, TX 78405 | 2009-02-25 |
| 1124205109 | Gulfshore Services Inc | Clinical Medical Laboratory | 401 South Padre Island Road, Suit 102, Corpus Christi, TX 78405 | 2008-01-22 |
| Find all providers in zip 78405 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416918 | Elizabeth R Kiolbassa | Pharmacist | 1821 Spid Dr, Corpus Christi, TX 78416-1398 | 2020-10-29 |
| 1063029775 | Cuong Cao | Pharmacist | 1301 Airline Rd, Corpus Christi, Corpus Christi, TX 78412 | 2020-09-26 |
| 1861006736 | Ifeyinwa B Nwolisa | Pharmacist | 4101 Ih 69, Suite C, Corpus Christi, TX 78410 | 2020-09-08 |
| 1194229674 | Yolanda Judith Villarreal | Pharmacist | 13725 Northwest Blvd Ste 130, Corpus Christi, TX 78410-5123 | 2018-03-20 |
| 1306386198 | John Carlton Grantham | Pharmacist | 4530 N Shea Pkwy, Corpus Christi, TX 78413-3327 | 2017-02-28 |
| 1174063069 | Leila Samadi | Pharmacist | 6005 Lago Vista Dr, Corpus Christi, TX 78414-6341 | 2017-02-27 |
| 1255885364 | Damian Abner Mireles | Pharmacist | 6301 Meadowvista Dr Apt 1037, Corpus Christi, TX 78414-2659 | 2016-08-05 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1548635501 | Hasnain Hashmi | Pharmacist | 1701 Ennis Joslin Rd Apt 313, Corpus Christi, TX 78412-4374 | 2015-12-02 |
| 1740657022 | Jennifer Pindroh | Pharmacist | 902 Airport Rd # Rf, Corpus Christi, TX 78405-3513 | 2015-08-21 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78405 |
Please comment or provide details below to improve the information on KIMBERLY RAE WAHL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.