Kimberly Destino
Pharmacist in North Tonawanda, NY. Individual provider (NPI-1).
NPI number1508991381
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1508991381
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Destino
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 33334 | NY | Yes |
Practice location
525 Division StNorth Tonawanda, NY 14120-4403
Phone 716-694-3138
Mailing address
6989 Samantha CtNiagara Falls, NY 14304-3019
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Pharmacist providers in North Tonawanda · All 554 providers in North Tonawanda
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