KIMBERLEY PETER (NPI# 1013324953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013324953 |
| Entity Type | Individual |
| Full Name | KIMBERLEY PETER |
| Credential | PHARMD |
| Practice Address |
2669 Scenic Dr Gerald Champion Regional Medical Center, Pharmacy Dept. Alamogordo NM 88310-8700 |
| Mailing Address |
2 Calle De Suenos Alamogordo NM 88310-9537 |
| Practice Telephone | 5754437979 |
| Mailing Telephone | 9154336489 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
34008 | TX | Pharmacy Service Providers |
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
RP00007762 | NM | Pharmacy Service Providers |
| Street Address |
2669 SCENIC DR GERALD CHAMPION REGIONAL MEDICAL CENTER, PHARMACY DEPT. |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165147 | William L Pollard | Specialist | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2005-06-28 |
| 1033719240 | Matthew Anthony Larkin | Physical Therapist | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2020-10-27 |
| 1477161917 | Charles Wayne Hawkins Jr. | Pharmacist | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2020-07-21 |
| 1073150496 | Kelly Renee Mcalister | Nurse Practitioner | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2019-12-04 |
| 1780226795 | Callie Althea Shaw | Dietitian, Registered | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2019-10-10 |
| 1598314049 | Oluwabunmi Sarah Oba | Nurse Practitioner | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2019-09-07 |
| 1063065829 | Ana Rodriguez | Social Worker | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2019-07-22 |
| 1801448998 | Kinsey Jo Airhart | Nurse Practitioner | 2669 Scenic Dr, Alamogordo, NM 88310-8734 | 2019-07-10 |
| 1841857018 | Monica Dahlin | Physical Therapist | 2669 Scenic Dr, Alamogordo, NM 88310-8734 | 2019-05-23 |
| 1922662444 | Rebecca Richards | Dietitian, Registered | 2669 Scenic Dr, Alamogordo, NM 88310-8734 | 2019-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619213881 | Jessica Rachelle Conklin | Pharmacist | 1036 Casa Roja Pl Nw, Albuquerque, NM 87120-6587 | 2012-12-17 |
| 1558618827 | Naseer A Hack | Pharmacist | 3508 Singapore Cir Ne, Albuquerque, NM 87111-5431 | 2012-08-06 |
| 1619258555 | Anton Robert Sanchez | Pharmacist | 5850 Eubank Blvd Ne Ste A1, Albuquerque, NM 87111-6132 | 2011-09-06 |
| 1215216882 | Paul Schentrup | Pharmacist | 2801 Eubank Blvd Ne, Albuquerque, NM 87112-1395 | 2011-08-12 |
| 1922282177 | Christopher Lawrence Angeli | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2007-12-24 |
| City | ALAMOGORDO |
| Zip Code | 88310 |
Please comment or provide details below to improve the information on KIMBERLEY PETER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.