KIMBERLY BOREN MCDONOUGH (NPI# 1871192153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871192153 |
| Entity Type | Individual |
| Full Name | KIMBERLY BOREN MCDONOUGH |
| Other Name | KIM MOODY |
| Credential | PHARM D |
| Practice Address |
4300 West 7th Street St 119/lr Little Rock AR 72205 |
| Mailing Address |
38 Edgehill Rd Little Rock AR 72207-5462 |
| Practice Telephone | 5018314820 |
| Mailing Telephone | 5018314820 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD08047 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366853434 | Kimberly Mcdonough | Dietitian, Registered | 17505 N 79th Ave, Suite 407, Glendale, AZ 85308-8725 | 2014-05-12 |
| 1164861175 | Kimberly Ann Mcdonough | Nurse Practitioner | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2013-06-24 |
| 1568635829 | Kimberly Ann Mcdonough | Contractor | 1081 Eagle Lake Road, Mount Desert, ME 04660-0060 | 2008-04-08 |
| Street Address |
4300 WEST 7TH STREET ST 119/LR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699784348 | Danny Mack Ballard | Nurse Anesthetist, Certified Registered | 4300 West 7th Street, Central Arkansas Vhs, Little Rock, AR 72205-9918 | 2006-08-05 |
| 1841711157 | Jelena Stojakovic | Pharmacist | 4300 West 7th Street, 119/lr, Little Rock, AR 72205-5446 | 2017-06-28 |
| 1255677191 | Karen Jeanne Baris | Nurse Practitioner | 4300 West 7th Street, 7b 109, Little Rock, AR 72205-5484 | 2012-12-21 |
| 1871842831 | Kacey Hunt | Pharmacist | 4300 West 7th Street, 119/lr, Little Rock, AR 72205 | 2012-09-06 |
| 1679861926 | Lisa Aurora Iverson | Pharmacy Technician | 4300 West 7th Street, Little Rock, AR 72205-5484 | 2011-07-20 |
| 1912295155 | William E Crouch Jr. | Pharmacy Technician | 4300 West 7th Street, Va Medical Center ( Pharmacy 119/lr ), Little Rock, AR 72205 | 2011-07-20 |
| 1679717540 | Barry Alan Napier | Pharmacist | 4300 West 7th Street, Central Arkansas Veterans Healthcare System, Little Rock, MD 72205-1484 | 2009-04-23 |
| 1316181464 | Milana Kligman Tedford | Internal Medicine | 4300 West 7th Street, Little Rock, AR 72205-7199 | 2009-04-20 |
| 1003025594 | Jamie D Ireland | Radiology | 4300 West 7th Street, John L. Mcclellan Memorial Veterans Hospital, Little Rock, AR 72205 | 2007-05-21 |
| 1689769200 | Kimberly Watson | Pharmacist | 4300 West 7th Street, Dept 119/lr, Little Rock, AR 72205 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| 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 |
|---|---|---|---|---|
| 1588203236 | Amanda Jill Dixon | Pharmacist | 1800 Riverfront Dr, Little Rock, AR 72202-1882 | 2019-12-29 |
| 1952949471 | Tony Wayne Wilson | Pharmacist | 4409 Stone Creek Cv, Little Rock, AR 72210-4954 | 2019-12-16 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1386280691 | Baptist Health | Pharmacist | 9600 Baptist Health Dr Ste 260, Little Rock, AR 72205-6373 | 2019-11-21 |
| 1851944698 | Rachael Lynette Perkins | Pharmacist | 4301 Atwood Rd, Little Rock, AR 72206 | 2019-07-22 |
| 1255998514 | Gene Peter Dalton Herzig | Pharmacist | 904 Autumn Rd Ste 275, Little Rock, AR 72211-3745 | 2019-05-22 |
| 1366901191 | Nicholas Marks Grunewald | Pharmacist | 210 Congressional Cir, Little Rock, AR 72210-2832 | 2019-03-19 |
| 1073081196 | Carlettee Stephens Seng | Pharmacist | 53 Flintwood Dr, Little Rock, AR 72227-5855 | 2018-11-06 |
| 1720576994 | Corey Hayes | Pharmacist | 4301 W Markham St # 755, Little Rock, AR 72205-7101 | 2018-04-24 |
| 1427577436 | Susan Amanda Schee | Pharmacist | 15400 Chenal Pkwy Ste 100, Little Rock, AR 72211-2016 | 2017-09-12 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on KIMBERLY BOREN MCDONOUGH.
| 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.