National Provider Identifier
Kimberly Destino
Kimberly Destino is listed in the NPPES registry with a primary specialty of Pharmacist in North Tonawanda, NY and a listed phone number of (716) 694-3138.
Profile Overview
- NPI
- 1508991381
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- February 22, 2007
- Last Updated
- July 08, 2007
Practice Location
- 525 Division St
- North Tonawanda, NY 14120-4403
Phone: (716) 694-3138
Mailing Address
- 6989 Samantha Ct
- Niagara Falls, NY 14304-3019
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1508991381
- Entity Type
- Individual
- Last Name
- Destino
- First Name
- Kimberly
- Name Prefix
- Mrs.
- Mailing Street Address
- 6989 Samantha Ct
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14304-3019
- Mailing Country
- US
- Practice Street Address
- 525 Division St
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-4403
- Practice Country
- US
- Practice Phone
- (716) 694-3138
- Enumeration Date
- February 22, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 33334 (NY, Liscense Number)