Provider Demographics
NPI:1134321243
Name:BEGLEY, KIMBERLEY J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLEY
Middle Name:J
Last Name:BEGLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 O ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68117-1941
Mailing Address - Country:US
Mailing Address - Phone:402-734-6471
Mailing Address - Fax:402-280-1268
Practice Address - Street 1:CREIGHTON UNIVERSITY SCHOOL OF PHARMACY
Practice Address - Street 2:2500 CALIFORNIA PLAZA HLSB 179
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68178-0001
Practice Address - Country:US
Practice Address - Phone:402-280-2890
Practice Address - Fax:402-280-1268
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10699183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist