KIMBERLY MICHELLE EASTERLING (NPI# 1346870482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346870482 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHELLE EASTERLING |
| Credential | PHARMD |
| Practice Address |
2960 Shallowford Rd Marietta GA 30066-3094 |
| Mailing Address |
528 Brookeshyre Ct Woodstock GA 30188-6700 |
| Practice Telephone | 7709773640 |
| Practice Fax Number | 7709775464 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PHA0022969 | CO | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH031751 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1417288630 | Kimberly Rose Easterling | Radiologic Technologist | 6221 Hermosa Dr, Ocean Springs, MS 39564-2512 | 2010-01-28 |
| Street Address |
2960 SHALLOWFORD RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-3094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811921620 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2960 Shallowford Rd, Marietta, GA 30066-3094 | 2006-07-10 |
| 1912538596 | Nikita Quin Smith | Pharmacist | 2960 Shallowford Rd, Marietta, GA 30066-3094 | 2020-01-31 |
| 1275622680 | Roya N. Akbar | Dentist | 2960 Shallowford Rd, Suite 301, Marietta, GA 30066-3094 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
| 1265063143 | Ravi Kumar Kolluri | Pharmacist | 2753 Stone Hall Dr, Marietta, GA 30062-5061 | 2020-01-30 |
| 1629594049 | Andrew D Quach | Pharmacist | 3605 Sandy Plains Rd Ste 200, Marietta, GA 30066-3066 | 2017-08-17 |
| 1437608742 | Houda Aboujamous | Pharmacist | 958 Chestnut Hill Rd Sw, Marietta, GA 30064-2955 | 2016-09-27 |
| 1306445382 | Katherine L Antoniades | Pharmacist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2020-10-21 |
| 1639777147 | Valerie Elise Neesmith | Pharmacist | 3162 Johnson Ferry Rd, Marietta, GA 30062-7604 | 2020-10-16 |
| 1871191635 | Sarah Murihia | Pharmacist | 1122 Powers Ferry Rd Se, Marietta, GA 30067-5753 | 2020-10-14 |
| 1760080642 | Gabrielle Horne | Pharmacist | 1000 Whitlock Ave Nw, Marietta, GA 30064-5455 | 2020-10-13 |
| 1629686134 | Annie Lee | Pharmacist | 4880 Lower Roswell Rd, Marietta, GA 30068-4375 | 2020-07-21 |
| 1750917761 | Elizabeth Carpenter | Pharmacist | 2100 Roswell Rd, Marietta, GA 30062-0810 | 2020-03-21 |
| Find all providers in MARIETTA | ||||
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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.