DR. KEVIN M. DOHERTY (NPI# 1093854341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093854341 |
| Entity Type | Individual |
| Full Name | DR. KEVIN M. DOHERTY |
| Credential | PHARM.D |
| Practice Address |
1000 Memorial Dr Denison TX 75020-2035 |
| Mailing Address |
1130 W Bond St Denison TX 75020-2106 |
| Practice Telephone | 9034164072 |
| Mailing Telephone | 9036477363 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
444185 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932230547 | Kevin Doherty | Acupuncturist | 2300 S Rock Creek Pkwy, Cross Creek Retail Center, Superior, CO 80027-4409 | 2007-03-07 |
| 1689737850 | Kevin Doherty | Nurse Anesthetist, Certified Registered | 275 Sandwich Road, Jordan Hospital, Plymouth, MA 02360 | 2006-12-19 |
| 1518069236 | Kevin Glen Doherty | Emergency Medicine | 6511 Taggart Rd, Delaware, OH 43015-8893 | 2006-09-02 |
| 1336180249 | Kevin Patrick Doherty | Physical Therapist | 14825 N Outer Forty Road, Suite 300, Chesterfield, MO 63005-0002 | 2006-06-10 |
| 1962809905 | Kevin Richard Doherty II | Counselor | 599 Canal St, Lorenzo Building, Lawrence, MA 01840-1244 | 2014-11-19 |
| 1437555885 | Kevin L Doherty | Registered Nurse | 597 Center Ave, Suite 200a, Martinez, CA 94553-4640 | 2014-11-12 |
| 1174796098 | Kevin Doherty | Chiropractor | 141 S Central Ave, Suite 305, Hartsdale, NY 10530-2319 | 2008-04-11 |
| 1831310341 | Kevin James Doherty | Counselor | 10350 E Dakota Ave, Ste B, Denver, CO 80247-1314 | 2007-05-01 |
| 1104946128 | Kevin Jerome Doherty | Dentist | 1200 S Highland Ave, Clearwater, FL 33756-4334 | 2007-03-31 |
| Street Address |
1000 MEMORIAL DR |
| City | DENISON |
| State | TX |
| Zip Code | 75020-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477553113 | Uhs of Trc, Inc | Long Term Care Hospital | 1000 Memorial Dr, Denison, TX 75020-2035 | 2005-07-22 |
| 1215266325 | Houston Howard Hawkins IIi | Nurse Anesthetist, Certified Registered | 1000 Memorial Dr, Denison, TX 75020 | 2009-12-18 |
| 1861604001 | Roylyn G Selvy | Dietitian, Registered | 1000 Memorial Dr, Denison, TX 75020 | 2007-05-03 |
| 1457368938 | Zachary Anthony Franklin Sr. | Emergency Medicine | 1000 Memorial Dr, Denison, TX 75020-2035 | 2006-08-01 |
| 1356358832 | Kevin Lee Thompson | Emergency Medicine | 1000 Memorial Dr, Denison, TX 75020-2035 | 2006-08-01 |
| 1235146713 | William J Bowen | Emergency Medicine | 1000 Memorial Dr, Denison, TX 75020-2035 | 2006-08-01 |
| 1043260235 | Grayson Emergency Physicians | Emergency Medicine | 1000 Memorial Dr, Denison, TX 75020-2035 | 2006-05-11 |
| 1851378079 | Thomas B Sulistio | Specialist | 1000 Memorial Dr, `, Denison, TX 75020-2035 | 2005-12-29 |
| 1467452094 | Uhs of Trc, Inc | Skilled Nursing Facility | 1000 Memorial Dr, Denison, TX 75020-2035 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210161 | Claudia Perez | Counselor | 6101 Hwy 691, Denison, TX 75020 | 2020-03-18 |
| 1356989800 | Chandler Stockwell | Perfusionist | 5016 North Highway 75, Denison, TX 75020 | 2019-12-16 |
| 1598301459 | Amanda Lauren Boyle | Family Medicine | 307 King Ave, Dennison, TX 75020 | 2019-11-25 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1558844399 | Leslie Jill Wilson | Speech-Language Pathologist | 3635 Rosewood Drive, Denison, TX 75020 | 2018-09-07 |
| 1487175758 | Amanda Hoyer | Physician Assistant | 5012 S Us Highway 75 Ste 150, Denison, TX 75020 | 2017-06-27 |
| 1679006076 | Michael Slack | Family Medicine | 5016 N Us Hwy 75, Denison, TX 75020 | 2017-04-04 |
| 1184171597 | Tanya Paschen | Nurse Practitioner | 1300 Tx-91, Denison, TX 75020 | 2016-09-01 |
| 1992154553 | Rhonda Howery | Durable Medical Equipment & Medical Supplies | 1001 W. Main St., Suite 101, Denison, TX 75020 | 2016-06-05 |
| 1801255088 | Denison Dental Pllc | Dentist | 3515 West Fm 120, Denison, TX 75020 | 2016-02-17 |
| Find all providers in zip 75020 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151193 | Lori Jean Krustchinsky | Pharmacist | 1220 Hobbs Reach Ln, Houston, TX 77008-6464 | 2020-07-07 |
| 1699390609 | Vincent Wong | Pharmacist | 13501 Hymeadow Cir, Austin, TX 78729-1763 | 2020-06-15 |
| 1750917282 | Ayeshia Duru | Pharmacist | 1321 Canterbury Dr, Allen, TX 75013-7067 | 2020-03-16 |
| 1639703416 | Uchenna Comfort Orji | Pharmacist | 8803 Noah Lndg, Houston, TX 77064-4392 | 2020-03-02 |
| 1316577695 | Osita Stephen Okafor Jr. | Pharmacist | 8440 N Sam Houston Pkwy E Apt 832, Humble, TX 77396-2971 | 2020-01-25 |
| 1023658093 | Islam Abdelhamid | Pharmacist | 1911 Holcombe Blvd Apt 1728, Houston, TX 77030-4192 | 2020-01-08 |
| 1851934640 | Karen Ugwu | Pharmacist | 1212 Corporate Dr, Irving, TX 75038-2502 | 2019-10-24 |
| 1588136675 | Jose Martin Penaloza | Pharmacist | 12002 Barrycliff Ct, Houston, TX 77070-5447 | 2018-12-30 |
| 1790252054 | Jenna Lynne Snoga | Pharmacist | 7400 Merton Minter San Antonio, San Antonio, TX 78229 | 2018-10-25 |
| 1679048151 | Richard William Molinaro Jr. | Pharmacist | 708 Tall Pines Dr, Friendswood, TX 77546-4456 | 2018-10-10 |
| Find all providers with the same taxonomy | ||||
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| 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.