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Active NPI 1558656942 Individual Practitioner Male Practitioner

Kim Vincent Nilsson

Pharmacist • Medina, OH

Professional Overview & Biography Verified Profile Summary

Kim Nilsson is a registered healthcare professional specializing in Pharmacist in Medina, OH. Practice services are available at 1015 N COURT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1015 N Court St

Medina, OH 442561582

Telephone 3307252706
Fax 3307252706
Associated Practice Facility / Clinic
🏢 Ohio Cvs Stores Llc Facility NPI 1598787392

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Medina, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Medina, OH (11028 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OH 03211210

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0162443 (OH)
Commercial Insurance / Payer ID Medco
340006148 (OH)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1154678860

Doctor of Pharmacy (Pharm.D.)

Shane Parks

Pharmacist

NPI 1407574429
NPI 1740576255

Doctor of Pharmacy (Pharm.D.)

NPI 1760777643

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2011

Registered at 1015 N COURT ST, MEDINA, OH 442561582 (Tel: 3307252706)

📍
Updated Business Mailing Address June 14, 2011

Registered at 1015 N COURT ST, MEDINA, OH 442561582 (Tel: 3307252706)

👤
Provider Name / Credentials Updated June 14, 2011

Recorded as KIM NILSSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2011

Pharmacist (License #03211210 in OH)

🟢
Initial NPI Registration & Enumeration June 14, 2011

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: 1558656942
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2011
Last Update: June 14, 2011
Sole Proprietor: Yes

Mailing Address

1015 N Court St

Medina, OH 442561582

Phone: 3307252706

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.