Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518554732 Individual Practitioner Female Practitioner

Kimberly Roxann Otto

Pharmacist • Bastrop, TX

Professional Overview & Biography Verified Profile Summary

Kimberly Otto is a registered healthcare professional specializing in Pharmacist in Bastrop, TX. Practice services are available at 104 N HASLER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

104 N Hasler Blvd

Bastrop, TX 786023740

Telephone 5125817044
Fax 5123320422

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bastrop, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
25 Specialists

Practicing in Bastrop, TX (18958 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: 2020-12-22
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 29942

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

7 Associated Practitioners
NPI 1164742235

Registered Pharmacist

NPI 1275187148

Doctor of Pharmacy (Pharm.D.)

NPI 1447566179

Registered Pharmacist

Rosalidia Reyes

Pharmacy Technician

NPI 1477220754
Kayla Melton

Pharmacy Technician

NPI 1710654090
Kiley Ramos

Pharmacy Technician

NPI 1750050480

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2020

Registered at 104 N HASLER BLVD, BASTROP, TX 786023740 (Tel: 5125817044)

📍
Updated Business Mailing Address December 22, 2020

Registered at 104 N HASLER BLVD, BASTROP, TX 786023740 (Tel: 5125817044)

👤
Provider Name / Credentials Updated December 22, 2020

Recorded as KIMBERLY OTTO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2020

Pharmacist (License #29942 in TX)

🟢
Initial NPI Registration & Enumeration December 22, 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: 1518554732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2020
Last Update: December 22, 2020
Sole Proprietor: No

Mailing Address

104 N Hasler Blvd

Bastrop, TX 786023740

Phone: 5125817044

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.