MRS. KIMBERLY LARAINE ELLIOTT (NPI# 1366723587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366723587 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY LARAINE ELLIOTT |
| Credential | PHARMD |
| Practice Address |
6103 Fort Caroline Rd Jacksonville FL 32277-2035 |
| Mailing Address |
13415 Teddington Ln Jacksonville FL 32226 |
| Practice Telephone | 9045661708 |
| Mailing Telephone | 9045661708 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS36207 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265976849 | Kimberly Elliott | Dietitian, Registered | 7787 Richmond Hwy, Appomattox, VA 24522-8680 | 2016-12-15 |
| 1023393147 | Kimberly Elliott | Social Worker | 1213 Vinewood Ave, Schenectady, NY 12306-2918 | 2011-10-20 |
| 1033734900 | Kimberly Elliott | Nurse Practitioner | 1662 Dominican Way, Santa Cruz, CA 95065-1522 | 2020-06-16 |
| 1760025886 | Kimberly Kay Elliott | Social Worker | 1255 Liberty St, Redding, CA 96001-0814 | 2019-10-21 |
| 1770098311 | Kimberly A Elliott | Counselor | 713 Cheatham St, Springfield, TN 37172-2828 | 2017-12-05 |
| 1477002921 | Kimberly Elliott | Behavioral Analyst | 3009 C St, Sacramento, CA 95816-3326 | 2016-09-26 |
| 1891191490 | Kimberly Elliott | Registered Nurse | 1170 Fairgrove Church Rd, Hickory, NC 28602-9695 | 2014-11-08 |
| 1427383520 | Kimberly L Elliott | Occupational Therapist | 4112 46th Ave, Rock Island, IL 61201-7166 | 2009-10-07 |
| 1588862098 | Kimberly Ann Elliott | Family Medicine | 1450 Northwest Ln Se Ste A, Pmg Sw Wa Panorama, Lacey, WA 98503-6908 | 2007-07-05 |
| 1396795654 | Kimberly A. Elliott | Otolaryngology | 3701 Dauphin St, Mobile, AL 36608-1756 | 2006-05-10 |
| Street Address |
6103 FORT CAROLINE RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32277-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396752374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6103 Fort Caroline Rd, Jacksonville, FL 32277-2035 | 2006-08-02 |
| 1033490339 | Tammy Torrence Colbert | Pharmacist | 6103 Fort Caroline Rd, Jacksonville, FL 32277-2035 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1376042176 | Seginald Rashaad Chaney | Adult Companion | 5885 Edenfield Rd, Charter Landing Apartments Apt E-10, Jacksonville, FL 32277 | 2018-02-07 |
| 1578966875 | Erin Chretien | Behavioral Analyst | 3780 University Club Blvd Apt 3204, Jacksonville, FL 32277 | 2014-09-30 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1982977443 | A1 Care Systems Inc | Assisted Living Facility | 7449 Sandhurst Rd S, Jacksonville, FL 32277 | 2012-02-14 |
| 1851453211 | Ajay Doddapaneni | Radiology | 7920 Merrill Rd Unit 708, Jacksonville, FL 32277 | 2006-12-14 |
| 1821184565 | Ramsey Bader Salem | Dentist | 6237 Merrill Road, Jacksonville, FL 32277 | 2006-10-04 |
| 1669913448 | Lalita Kummeth | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2017-03-14 |
| 1750761094 | Andrew Jervey Hunt | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2015-06-02 |
| 1629310909 | Arun Joseph | Pediatrics | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2013-03-25 |
| Find all providers in zip 32277 | ||||
| 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 |
|---|---|---|---|---|
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 1568062131 | Matthew David Strawbridge | Pharmacist | 1335 Edgewood Ave S, Jacksonville, FL 32205-7739 | 2020-10-31 |
| 1639779036 | Jie Song | Pharmacist | 10991 San Jose Blvd, Jacksonville, FL 32223-6675 | 2020-10-27 |
| 1417564899 | Mit Manojkumar Suthar | Pharmacist | 1773 Chandelier Cir E, Jacksonville, FL 32225-5553 | 2020-09-29 |
| 1932715398 | Sena Aydogan | Pharmacist | 753 Candlebark Dr, Jacksonville, FL 32225-5321 | 2020-09-21 |
| 1780295949 | Daniel James Carr | Pharmacist | 1301 Palm Ave Ste 201, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1760093926 | Kaetlyn Parker | Pharmacist | 1301 Palm Ave Ste 210, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1316557507 | Lauren Meagan Condon | Pharmacist | 155 Bartram Market Dr, Jacksonville, FL 32259-4581 | 2020-08-03 |
| 1134746357 | Kathryn Leigh Kettler | Pharmacist | 4836 Brierwood Rd, Jacksonville, FL 32257-8027 | 2020-07-03 |
| 1902422306 | Morene Yvonne Kelly | Pharmacist | 4255 La Losa Dr, Jacksonville, FL 32217-4640 | 2020-06-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32277 |
Please comment or provide details below to improve the information on MRS. KIMBERLY LARAINE ELLIOTT.
| 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.