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Active NPI 1518506047 Individual Practitioner Male Practitioner

Ken A Kimball , RPH

Pharmacist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Ken Kimball, RPH is a registered healthcare professional specializing in Pharmacist in Fort Wayne, IN. Practice services are available at 2802 E STATE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2802 E State Blvd

Fort Wayne, IN 468054733

Telephone 2604715521
Associated Practice Facility / Clinic
🏢 Hook-Superx Llc Facility NPI 1689777393

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
385 Specialists

Practicing in Fort Wayne, IN (5218 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-01
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IN 26016357A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Amin Humaidi

Pharmacist

NPI 1306605316
Tuan Tran

Pharmacist

NPI 1316543168
NPI 1356944805

Doctor of Pharmacy (Pharm.D.)

NPI 1699356709

Doctor of Pharmacy (Pharm.D.)

Ruaa Alani

Pharmacist

NPI 1699379347

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 01, 2020

Registered at 2802 E STATE BLVD, FORT WAYNE, IN 468054733 (Tel: 2604715521)

📍
Updated Business Mailing Address January 01, 2020

Registered at 11606 HARDISTY RD, FORT WAYNE, IN 468459606

👤
Provider Name / Credentials Updated January 01, 2020

Recorded as KEN KIMBALL, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2020

Pharmacist (License #26016357A in IN)

🟢
Initial NPI Registration & Enumeration January 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518506047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2020
Last Update: January 01, 2020
Sole Proprietor: Yes

Mailing Address

11606 Hardisty Rd

Fort Wayne, IN 468459606

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.