Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
KIMBERLEE SUE AUTH
Active
Individual
KIMBERLEE SUE AUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.286990
IL
183500000X
Pharmacist
52294
CA
183500000X
Pharmacist
Primary
I064109
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210521
NABP EPROFILE ID
—
01
—
I064109
PHARMACIST STATE LICENSE NUMBER
NY
Enumeration date
11/16/2020
Last updated
11/16/2020
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