KIMBERLY ANN PARKER (NPI# 1285945212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285945212 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN PARKER |
| Practice Address |
5399 W Genesee St Camillus NY 13031-2265 |
| Mailing Address |
341 State Route 104 East Oswego NY 13126 |
| Practice Telephone | 3154876714 |
| Practice Fax Number | 3154870988 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 054530 | NY | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 341 State Route 104 East, Oswego, NY 13126 | 3153422212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890698 | Kimberly Parker | Nurse Practitioner | 4708 Hickory Hills Cir, Meridian, MS 39305-2440 | 2020-08-05 |
| 1457737645 | Kimberly Parker | Social Worker | 9696 Hayne Blvd Apt B17, New Orleans, LA 70127 | 2015-08-11 |
| 1962806216 | Kimberly Parker | Social Worker | 13 Creek Dr, New Castle, DE 19720-8723 | 2014-10-15 |
| 1578975470 | Kimberly D. Parker | Driver | 2225 Parkview Pl, South Bend, IN 46616-2149 | 2014-05-27 |
| 1487856092 | Kimberly Miller Parker | Physician Assistant | 1150 Brookstone Centre Pkwy, Columbus, GA 31904-4577 | 2007-06-05 |
| 1972538395 | Kimberly Gaston Parker | Nurse Practitioner | 1330 Roper Mountain Road Ert, Ste 2700, Spcurtanburg, SC 29303 | 2006-07-12 |
| 1730150426 | Kimberly Dawn Parker | Pharmacist | 3851 Roger Brooke Drive #3600, Brooke Army Medical Center, Fort Sam Houston, TX 78234 | 2006-01-30 |
| 1275133647 | Kimberly Ann Parker | Pharmacist | 6920 Forest Ave, Richmond, VA 23230-1701 | 2020-10-27 |
| 1851939698 | Kimberly Rose Parker | Nurse Practitioner | 2112 Harrisburg Pike Ste 202, Lancaster, PA 17601-2644 | 2019-12-11 |
| 1609340611 | Kimberly Parker | Social Worker | 733 Thimble Shoals Blvd Ste 170, Newport News, VA 23606-4260 | 2019-01-14 |
| Street Address |
5399 W GENESEE ST |
| City | CAMILLUS |
| State | NY |
| Zip Code | 13031-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962429035 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5399 W Genesee St, Camillus, NY 13031-2265 | 2006-07-16 |
| 1730657388 | Justin Robert Edwards | Technician/Technologist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2018-11-12 |
| 1043726672 | George Scott Harris Jr. | Technician/Technologist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2017-12-19 |
| 1205243011 | Dung T Dang | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2014-07-14 |
| 1730401357 | Lisa Marie Adornato | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2010-02-23 |
| 1679800155 | Chong Ki Kim | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2009-11-04 |
| 1598942369 | Charles Vincent Lapp | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2008-01-23 |
| 1184800153 | Michael Joseph Perrone | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2008-01-21 |
| 1376726638 | Lori Ann Guereschi | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2007-12-10 |
| 1083893903 | Angela Marie Pagorek | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2007-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361337 | Marsha Reedy | Registered Nurse | Baldwinsville Schools, 29 East Oneida Street, Baldwinsville, NY 13031 | 2019-11-22 |
| 1821632167 | Romans Soltani Dentistry, Pllc | Dentist | 5426 W. Genesee Street, Camillus, NY 13031 | 2019-10-30 |
| 1174178859 | Abigail Marie Brunner | Nurse Practitioner | 208 Township Blvd, Suite 100, Camillus, NY 13031 | 2019-08-08 |
| 1649779547 | Claire Isaacson | Counselor | 6000 W Genesee St Ste 400, Camillus, NY 13031 | 2018-02-06 |
| 1811426190 | At Home Independent Living, Inc. | In Home Supportive Care | 4464 Milton Ave, Syracuse, NY 13031 | 2017-06-08 |
| 1548643471 | Podiatry Services of Central New York, PC | Podiatrist | 4912 West Genesee Street, Camillus, NY 13031 | 2015-07-09 |
| 1023497203 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5417 West Genesee Street, Suite 1, Camillus, NY 13031 | 2015-05-21 |
| 1194130377 | Costco Wholesale Corporation | Pharmacy | 120 Township Blvd, Camillus, NY 13031 | 2014-06-25 |
| 1487084976 | Todd Ray | Social Worker | 6000 W Genesee St, Camillus, NY 13031 | 2013-11-19 |
| 1093045155 | Rebecca Mae Goal Carroll | Physical Therapist | 5417 W Genesee St, Camillus, NY 13031 | 2010-01-12 |
| Find all providers in zip 13031 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683638 | Kevin Michael Fucillo | Pharmacist | 144 Park Way, Camillus, NY 13031-1315 | 2018-09-18 |
| 1124308242 | Peggy Lee | Pharmacist | 27 Queens Way, Apt 3, Camillus, NY 13031-1727 | 2011-08-19 |
| 1558547430 | Elizabeth White Graham | Pharmacist | 5300 W Genesse Street, Camillus, NY 13031-0128 | 2008-01-10 |
| 1245415116 | William J Clark | Pharmacist | 5335 W Genesee St, Suite 20, Camillus, NY 13031-2265 | 2008-01-09 |
| 1003428376 | Matia Senyonga | Pharmacist | 5206 W Genesee St, Camillus, NY 13031-2202 | 2020-08-18 |
| 1881257137 | Alicia Anne Salamino | Pharmacist | 5206 W Genesee St, Camillus, NY 13031-2202 | 2019-04-22 |
| 1417415795 | Cory Pazcoguin | Pharmacist | 5700 W Genesee St Ste 106, Camillus, NY 13031-3200 | 2019-03-06 |
| 1841754686 | Virginia Victoria Coleman | Pharmacist | 5700 W Genesee St Ste 106, Camillus, NY 13031-3200 | 2019-01-25 |
| 1972910446 | Nicole Sigg | Pharmacist | 5206 W Genesee St, Camillus, NY 13031-2202 | 2014-07-16 |
| 1205243011 | Dung T Dang | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2014-07-14 |
| Find all providers in CAMILLUS | ||||
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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.