MS. KIMBERLY KAYE MERRILL (NPI# 1811058605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811058605 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY KAYE MERRILL |
| Credential | RPH |
| Practice Address |
1275 Highland Ave Clarkston WA 99403-2846 |
| Mailing Address |
1941 Sargent Dr Clarkston WA 99403-1244 |
| Practice Telephone | 5097585533 |
| Practice Fax Number | 5097519545 |
| Mailing Telephone | 5095529338 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00021095 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6173801 | 05 | |
| WA | NABP NUMBER | 4902981 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801306758 | Kimberly Ann Merrill | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2017-10-05 |
| 1639619364 | Kimberly Merrill | Counselor | 2 Wall St, Ste 400, Manchester, NH 03101-1518 | 2017-02-28 |
| 1225325921 | Kimberly Hageman Merrill | Nurse Practitioner | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2011-07-01 |
| Street Address |
1275 HIGHLAND AVE |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235290065 | Kristen Clarissa Adams | Pharmacist | 1275 Highland Ave, Clarkston, WA 99403-2846 | 2006-12-13 |
| 1932249190 | Michael J Auer | Pharmacist | 1275 Highland Ave, Clarkston, WA 99403-2846 | 2007-02-07 |
| 1164573762 | Chastains Incorporated | Pharmacy | 1275 Highland Ave, Clarkston, WA 99403-2846 | 2007-01-12 |
| 1679634281 | Lori Jean Jacobs | Pharmacist | 1275 Highland Ave, Clarkston, WA 99403-2846 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| 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 |
|---|---|---|---|---|
| 1548782840 | Joshua Wonjoon Yang | Pharmacist | 5635 Parview Dr Apt 112, Clarkston, MI 48346-2847 | 2017-07-09 |
| 1003348608 | Cathy Steward Hruska | Pharmacist | 7651 Somerhill Ln, Clarkston, MI 48348-4382 | 2017-04-01 |
| 1063965143 | Bertukan Worku Demas | Pharmacist | 3671 Cobble Mill Ln, Clarkston, GA 30021 | 2016-07-26 |
| 1184090284 | Tammy Tran | Pharmacist | 5317 Greenview Dr, Clarkston, MI 48348-3718 | 2015-08-12 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1861837486 | Suleman Daya | Pharmacist | 926 Montreal Rd Ste 2, Clarkston, GA 30021-1399 | 2013-05-09 |
| 1447577549 | John Fisher Barrett | Pharmacist | 4810 Fox Crk E, Apt 180, Clarkston, MI 48346-4938 | 2010-04-28 |
| 1447493598 | Nishant Patel | Pharmacist | 5789 S Main St, Clarkston, MI 48346-2959 | 2009-04-18 |
| 1184836587 | Joseph William Karasek | Pharmacist | 7210 N Main St Ste 102, Clarkston, MI 48346-1575 | 2007-05-06 |
| 1548326911 | George Stehpen Didur | Pharmacist | 5751 Clarkston Rd, Clarkston, MI 48348 | 2006-12-29 |
| Find all providers in CLARKSTON | ||||
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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.