DR. KIMBERLY KAYE DAUGHERTY


Address: 21 Michigan St Ne Ste 425, Grand Rapids, MI 49503-2530
Phone: 6163912728

DR. KIMBERLY KAYE DAUGHERTY (NPI# 1215053004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215053004
Entity Type Individual
Full Name DR. KIMBERLY KAYE DAUGHERTY
Credential PHARMD
Practice Address 21 Michigan St Ne Ste 425
Grand Rapids
MI 49503-2530
Mailing Address 2301 Rosewood Ave Se
Grand Rapids
MI 49506-5268
Practice Telephone 6163912728
Practice Fax Number 6163913783
Mailing Telephone 6164526773
Mailing Fax Number 6163913783
Enumeration Date 2007-03-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835P1200X Pharmacist
Specialization: Pharmacotherapy
011988 KY Pharmacy Service Providers
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
5302034354 MI Pharmacy Service Providers

Other Providers KIMBERLY DAUGHERTY

NPI Name Taxonomy Address Enumeration
1275877813 Kimberly Dawn Daugherty Rehabilitation Practitioner 821 N Mojave Rd, Las Vegas, NV 89101-2407 2012-11-20
1679779706 Kimberly Dawn Daugherty Social Worker 2430 Poplar Ave, Memphis, TN 38112-3246 2007-06-25

Office Location

Street Address 21 MICHIGAN ST NE STE 425
City GRAND RAPIDS
State MI
Zip Code 49503-2530

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NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
Find all providers in zip 49503

Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861729675 Gary Alan Vachon Pharmacist 3876 E Paris Ave Se, Suite 13, Grand Rapids, MI 49512-3974 2009-11-16
1851918551 Lacy J Worden Pharmacist 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-06-29
1619446028 Bradley James Buurma Pharmacist 1997 E Beltline Ave Ne, Grand Rapids, MI 49525-4545 2018-11-14
1407208374 Christine Allison Stever Pharmacist 100 Michigan St Ne, Suite 1830, Grand Rapids, MI 49503-2560 2016-07-05
1215334859 Donald Myers Pharmacist 1997 E Beltline Ave Ne, Grand Rapids, MI 49525-4545 2014-11-25
1306257050 Arinzechukwu Nkemdirim Okere Pharmacist 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2014-05-15
1285045294 Hetal Patel Pharmacist 2425 Alpine Ave Nw, Grand Rapids, MI 49544-1956 2014-05-13
1871903120 April D Fluit Pharmacist 315 Wilson Ave Nw, Grand Rapids, MI 49534-3554 2014-05-07
1013327469 Bradley Tetlow Pharmacist 3757 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 2014-05-06
1033529771 John Yonkers Pharmacist 3757 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 2014-05-03
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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