MRS. KIMBERLY A MCCALL (NPI# 1700043650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700043650 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY A MCCALL |
Credential | PHARMD |
Practice Address |
204 Shady Ave Damascus VA 24236 |
Mailing Address |
Po Box 384 Damascus VA 24236-0384 |
Practice Telephone | 2764755022 |
Practice Fax Number | 2754753614 |
Mailing Telephone | 2764753224 |
Mailing Fax Number | 2764753614 |
Enumeration Date | 2008-05-19 |
Last Update Date | 2008-05-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 0000013124 | TN | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 0202206209 | VA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | VIRGINIA PHARMACIST LICENSE NUMBER | 0202206209 | 01 |
TN | TENNESSEE PHARMACIST LICENSE NUMBER | 0000013124 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144366972 | Kimberly G Mccall | Developmental Therapist | 4002 W Horatio St, Tampa, FL 33609-3939 | 2007-01-29 |
1427606540 | Kimberly A Mccall | Physical Therapy Assistant | 1510 Hebron Rd, Hendersonville, NC 28739-4794 | 2019-09-02 |
1659680387 | Kimberly Ann Mccall | Nurse Anesthetist, Certified Registered | 22 Bramhall St, Portland, ME 04102-3134 | 2010-09-29 |
1700906336 | Kimberly Reaves Mccall | Occupational Therapist | 143 Merrimon Ave, Asheville, NC 28801-1815 | 2007-03-29 |
Street Address |
204 SHADY AVE |
City | DAMASCUS |
State | VA |
Zip Code | 24236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154877124 | Family Preservation Services, Inc | Community/Behavioral Health | 124 W. Laurel Avenue, Damascus, VA 24236 | 2016-08-30 |
1427272327 | Lacy Gilley | Pharmacist | 736 North Beaver Dam Road, Damascus, VA 24236 | 2007-04-12 |
1679695316 | St. Charles Health Council Inc | Clinic/Center | 306 South Shady Avenue, Damascus, VA 24236 | 2007-04-04 |
1639238264 | Paul T Moore | Dentist | 306 South Shady Ave., Damascus, VA 24236 | 2006-12-08 |
1225049877 | Laurel Family Drug Inc | Pharmacy | 204 S Shady Ave, Damascus, VA 24236 | 2006-08-10 |
1427045384 | Bridgette Olinger Smith | Nurse Practitioner | 306 S Shady Ave, Damascus, VA 24236 | 2005-10-05 |
1669894903 | Paige Cordial | Psychologist | 306 South Shady Avenue, Damascus, VA 24236 | 2014-01-06 |
1912165408 | Rebecca Hill Dearmond II | Pharmacist | 204 S Shady Ave, Damascus, VA 24236 | 2008-05-30 |
1043283120 | Thomas E Roatsey | Family Medicine | 306 South Shady Ave, Damascus, VA 24236-0456 | 2006-02-09 |
1598278723 | Katherine Burner Barnett | Social Worker | 306 South Shady Ave, Damascus, VA 24236-0456 | 2017-11-09 |
Find all providers in zip 24236 |
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 |
---|---|---|---|---|
1972072601 | Jayesh N Patel | Pharmacist | Weis Pharmacy, 26075 S. Ridge Rd, Damascus, MD 20872 | 2018-11-26 |
1669819991 | Teicher Nicole Agosto | Pharmacist | 25613 Coltrane Drive, Damascus, MD 20872 | 2013-05-28 |
1013297084 | Vera Bong Sangbong | Pharmacist | 9807 Main Street, Damascus, MD 20872 | 2011-08-23 |
1427272327 | Lacy Gilley | Pharmacist | 736 North Beaver Dam Road, Damascus, VA 24236 | 2007-04-12 |
1952392169 | Brett N Touchette | Pharmacist | 15315 Se Barlow Ct, Damascus, OR 97089-8732 | 2005-11-04 |
1487295390 | Marion Kay Berry | Pharmacist | 5 Highway 124 W, Damascus, AR 72039-9251 | 2019-10-01 |
1912477597 | Ganeshan S Iyer | Pharmacist | 26075 Ridge Rd, Damascus, MD 20872-1831 | 2018-11-27 |
1568931210 | Kelly Ming Piedrahita | Pharmacist | 26075 Ridge Rd, Damascus, MD 20872-1831 | 2018-11-23 |
1588037600 | Minh-thu Jost | Pharmacist | 20000 Se Highway 212, Damascus, OR 97089-8717 | 2015-11-11 |
1457751638 | Zera Kwende | Pharmacist | 9950 Lewis Dr, Damascus, MD 20872-1706 | 2014-08-26 |
Find all providers in DAMASCUS |
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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.