DR. KEVIN PAUL MCDERMOTT


Address: U.S. Highway 491 North, Pharmacy Department, Shiprock, NM 87420-0160
Phone: 5053687266

DR. KEVIN PAUL MCDERMOTT (NPI# 1629382593) 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) 1629382593
Entity Type Individual
Full Name DR. KEVIN PAUL MCDERMOTT
Credential PHARMD, PHC, BCPS
Practice Address U.S. Highway 491 North
Pharmacy Department
Shiprock
NM 87420-0160
Mailing Address Po Box 160
Pharmacy Department
Shiprock
NM 87420-0160
Practice Telephone 5053687266
Practice Fax Number 5053687262
Mailing Telephone 5053687266
Mailing Fax Number 5053687262
Enumeration Date 2010-08-03
Last Update Date 2013-12-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist RP00007971 NM Pharmacy Service Providers
N 183500000X Pharmacist PH00070717 WA Pharmacy Service Providers
N 1835P1200X Pharmacist
Specialization: Pharmacotherapy
PH 00070717 WA Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PC00000217 NM Pharmacy Service Providers
N 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH00070717 WA Pharmacy Service Providers

Other Providers KEVIN MCDERMOTT

NPI Name Taxonomy Address Enumeration
1730239609 Kevin J Mcdermott Chiropractor 12 Fox Hunt Dr, Bear, DE 19701-2534 2007-01-11
1215027297 Kevin Barry Mcdermott Registered Nurse 74 Oakland Ave, Waterbury, CT 06710-1438 2006-10-13
1942680962 Kevin Mcdermott General Practice 100 Brewster Blvd, Camp Lejeune, NC 28547 2015-06-04

Office Location

Street Address U.S. HIGHWAY 491 NORTH
PHARMACY DEPARTMENT
City SHIPROCK
State NM
Zip Code 87420-0160

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003424383 Ciara Hansen Psychologist Us- 491, Shiprock, NM 87420 2020-07-22
1013540848 Kelsi Marie Hartwig Dental Hygienist Highway 491 North, Yucca Street, Shiprock, NM 87420 2020-02-20
1194364232 Maria Sturtz Pharmacist Us Why 491 North, Shiprock, NM 87420 2020-01-06
1811533979 Merissa Jo De La Garza Pharmacist Highway 491 S, Shiprock, NM 87420 2019-11-25
1619528510 Heather Scott Psychologist Highway 64, Old High School Road, Shiprock, NM 87420 2019-09-23
1396305264 Malaura Creager Pharmacist North Hwy 491, Shiprock, NM 87420 2019-06-13
1275011488 Dawn Fowler Registered Nurse Us Highway 64, Shiprock, NM 87420 2018-07-31
1902384373 Brittany Jones Occupational Therapy Assistant Us 64, Old High School Rd., Shiprock, NM 87420 2018-07-30
1528561701 Patricia D Suarez Registered Nurse Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 2018-03-14
1023549284 Ellen Liversidge Speech-Language Pathologist Hwy 64, Old High School Rd., Shiprock, NM 87420 2017-03-21
Find all providers in zip 87420

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780030973 Welly Agate Pharmacist U.S. Hwy. 491 North, Shiprock, NM 87420-0160 2016-05-06
1497368567 Melvina Lake Pharmacist Us Highway 491 North, Shiprock, NM 87420 2020-08-28
1902384084 Katherine Vodovoz Pharmacist Hwy 491 N, Shiprock, NM 87420 2018-08-01
1437678059 Jaclyn Kotula Pharmacist Hwy 491 N, Shiprock, NM 87420 2017-09-14
1467844043 Fiona Chao Pharmacist Us Hwy 491, Shiprock, NM 87420 2015-02-19
1679881437 Patrick Covert Harper Pharmacist Us Hwy 491 North, Shiprock, NM 87420-0160 2010-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003426016 Natalia Carmen Mendez Pharmacist 409 Kathleen Pl, Farmington, NM 87401-3535 2020-08-04
1346897162 Kali Autrey Pharmacist Junction Hwy 371 and Rt 9, Crownpoint, NM 87313 2019-08-26
1831752286 Eillim De Jesus Rentas Pharmacist 6301 Alameda Blvd Ne Unit 1051, Albuquerque, NM 87113-2583 2019-04-20
1124594148 Danielle Schavz Pharmacist 1691 Galisteo St Ste A, Santa Fe, NM 87505-4781 2018-10-17
1720589336 Colin Wingfield Williams Pharmacist 8100 Constitution Pl Ne Ste 300, Albuquerque, NM 87110-7643 2018-02-28
1720501489 Julia Poynor Lawrence Pharmacist 2705 Highland Rd, Roswell, NM 88201-1330 2017-07-24
1467836502 Quentin Cooper Florence Pharmacist 44 Calle Del Media, Tijeras, NM 87059 2015-07-18
1669855698 Krystle Tapia Pharmacist 601 Menaul Blvd Ne, Unit 203, Albuquerque, NM 87107-1531 2015-07-08
1386044006 Richard Groh Pharmacist 905 Saunders Dr, Roswell, NM 88201-1002 2014-08-29
1518366434 Irene Gale Pharmacist 3 Maize Trl, Placitas, NM 87043-8339 2014-08-15
Find all providers with the same taxonomy

Competitor

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City SHIPROCK
Zip Code 87420

Improve Information

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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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