DR. KIMBERLY GARDNER (NPI# 1548892268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548892268 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY GARDNER |
| Practice Address |
4205 Ferncreek Dr Fayetteville NC 28314-2537 |
| Mailing Address |
6387 Ramsey St Fayetteville NC 28311-9441 |
| Practice Telephone | 9105513378 |
| Mailing Telephone | 9106153900 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16818 | NC | Pharmacy Service Providers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
16818 | NC | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710489026 | Kimberly Elizabeth Gardner | Physician Assistant | 2301 Erwin Road Dumc Box 3512, Durham, NC 27710-0001 | 2018-03-02 |
| 1245766799 | Kimberly Ann Gardner | Behavioral Analyst | 3941 De Sabla Rd, Cameron Park, CA 95682-8604 | 2017-05-03 |
| 1831511567 | Kimberly Ann Gardner | Physical Therapist | 19303 N New Tradition Rd, 202, Sun City West, AZ 85375-3806 | 2014-01-15 |
| 1023247061 | Kimberly Ruth Gardner | Radiology | 17503 Nassau Commons Blvd, Lewes, DE 19958-6283 | 2009-07-13 |
| 1124218581 | Kimberly Claire Gardner | Counselor | 500 S Lamborn St, Helena, MT 59601-5417 | 2007-07-31 |
| 1710097605 | Kimberly Gardner | Physical Therapy Assistant | 164 Mount Pelia Rd Ste 102, Martin, TN 38237-3835 | 2006-08-30 |
| 1447753504 | Kimberly L Gardner | Behavior Technician | 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2018-03-15 |
| 1497286751 | Kimberly Alexis Gardner | Counselor | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2017-03-27 |
| 1275990053 | Kimberly Ann Gardner | Counselor | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2016-01-25 |
| 1306264841 | Kimberly E Gardner | Nurse Practitioner | 7611 Forest Ave Ste 320, Richmond, VA 23229-4946 | 2014-04-02 |
| Street Address |
4205 FERNCREEK DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| 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 |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1710587605 | Jordan Tyler Reed | Pharmacist | 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 | 2020-10-29 |
| 1891395901 | Todd Johnson | Pharmacist | 660 W Mlk Blvd, Fayetteville, AR 72701-6443 | 2020-10-28 |
| 1669087953 | Elton Wayne Long | Pharmacist | 5106 Nc Highway 87 S Ste 100, Fayetteville, NC 28306-3424 | 2020-09-13 |
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1326685249 | Belinda Diane Abrams | Pharmacist | 175 Jacob Ct, Fayetteville, GA 30214-7541 | 2019-12-10 |
| 1699332098 | Kyndra Williams | Pharmacist | 101 Robeson St Ste 101, Fayetteville, NC 28301-5552 | 2019-05-22 |
| 1235610098 | Debra W Nichol | Pharmacist | 217 W Maple Ave # 2, Fayetteville, WV 25840-1413 | 2018-08-28 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| 1578041695 | Kimberly Napier Carney | Pharmacist | 160 Bellfair Run, Fayetteville, GA 30215-3033 | 2018-07-31 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on DR. KIMBERLY GARDNER.
| 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.