IndividualActive
Kim Ngoc Etheart, PHARM.D
NPI 1265939102 · Pharmacist · Rohnert Park, CA
Kim Ngoc Etheart, PHARM.D is a Pharmacist provider in Rohnert Park, CA (NPI 1265939102).
Provider details
- NPI number
- 1265939102
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D
- Sex
- Female
- Sole proprietor
- No
- License
- 53875 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4625 Redwood Dr
Rohnert Park, CA 94928-7941
Phone: (707) 586-3612
Fax: (707) 586-3624
Street-level locationGet directions
Mailing address
4625 Redwood Dr
Rohnert Park, CA 94928-7943
Registry dates
- Enumerated
- 2018-04-08
- Last updated
- 2018-04-08
Frequently asked questions
- What is Kim Ngoc Etheart's NPI number?
- Kim Ngoc Etheart's National Provider Identifier (NPI) is 1265939102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Ngoc Etheart's specialty?
- Kim Ngoc Etheart is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kim Ngoc Etheart located?
- Kim Ngoc Etheart's practice location on file with NPPES is 4625 Redwood Dr, Rohnert Park, CA 94928-7941.
- What is Kim Ngoc Etheart's phone number?
- The practice phone number listed in the NPPES registry for Kim Ngoc Etheart is (707) 586-3612.
- Is Kim Ngoc Etheart's NPI active?
- Yes — Kim Ngoc Etheart's NPI (1265939102) is active in the NPPES registry as of the last update on 2018-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.