MR. DERRICK BRIAN KIMREY (NPI# 1316230824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316230824 |
| Entity Type | Individual |
| Full Name | MR. DERRICK BRIAN KIMREY |
| Practice Address |
790 Timber Dr Garner NC 27529-4852 |
| Practice Telephone | 9196619992 |
| Mailing Telephone | 9196619992 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12619 | NC | Pharmacy Service Providers |
| Street Address |
790 TIMBER DR |
| City | GARNER |
| State | NC |
| Zip Code | 27529-4852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285738955 | North Carolina Cvs Pharmacy LLC | Pharmacy | 790 Timber Dr, Garner, NC 27529-4852 | 2006-09-12 |
| 1558978999 | Deborah Lousie Ballard | Nurse Practitioner | 790 Timber Dr, Garner, NC 27529-4852 | 2020-09-29 |
| 1285280313 | Holly Short | Nurse Practitioner | 790 Timber Dr, Garner, NC 27529-4852 | 2019-08-14 |
| 1447603774 | Brandy Nicole Bonner | Physician Assistant | 790 Timber Dr, Garner, NC 27529-4852 | 2016-07-21 |
| 1154698504 | Angela Kaloko | Nurse Practitioner | 790 Timber Dr, Garner, NC 27529-4852 | 2011-11-29 |
| 1578871588 | Amie Marie Miller | Pharmacist | 790 Timber Dr, Garner, NC 27529-4852 | 2010-09-24 |
| 1730209925 | Carissa Haney | Nurse Practitioner | 790 Timber Dr, Garner, NC 27529-4852 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112579 | Ascend Rehab Therapy | Speech-Language Pathologist | 45 Waterpine Drive, Garner, NC 27529 | 2019-09-11 |
| 1760039937 | Direct Realistic Counseling Sevices | Counselor | 503 Highway 70, Suite R, Garner, NC 27529 | 2019-08-22 |
| 1285281402 | Direct Solutions Counseling Services | Counselor | 503 R Highway 70, Garner, NC 27529 | 2019-08-22 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1154888485 | First Step Services, LLC | Social Worker | 1418 Aversboro Road, Suite 201, Garner, NC 27529 | 2019-02-22 |
| 1528533387 | Pratibha Verma | Physical Therapist | 200 Bellarose Nursing and Rehab, Garner, NC 27529 | 2018-10-09 |
| 1073037271 | Kim Robert Rogers | Marriage & Family Therapist | 1140 Holly Springs Road #207, Holly Springs, NC 27529 | 2017-07-29 |
| 1790214062 | Diversified Services of Nc LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 255 Adams Point Dr, Garner, NC 27529 | 2017-06-08 |
| 1972049369 | Michelle Stephens | Case Manager/Care Coordinator | 7017 Scarlett Ln, Garner, NC 27529 | 2017-01-10 |
| 1962854877 | Brittany H Mccrann | Social Worker | 310 New Fidelity Ct, Garner, NC 27529 | 2016-07-05 |
| Find all providers in zip 27529 | ||||
| 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 |
|---|---|---|---|---|
| 1578848453 | Christine Nicole Davis | Pharmacist | 5176 Nc Hwy 42 West, Allcare Rx Services, Garner, NC 27529-8471 | 2011-10-11 |
| 1508158114 | Erica Adell Pierce | Pharmacist | 5680 Nc Highway 42 W, Garner, NC 27529-8120 | 2011-05-15 |
| 1952600702 | Thomas Howard Bunch | Pharmacist | 1315 5th Ave, Garner, NC 27529-3637 | 2011-03-18 |
| 1720386089 | George Anthony Jackson | Pharmacist | 1333 5th Ave, Garner, NC 27529-3637 | 2011-03-09 |
| 1831490176 | Charis May Onyinye Ebite | Pharmacist | 5176 Nc Highway 42 W Ste H, Garner, NC 27529-8471 | 2010-11-03 |
| 1679702708 | Stephanie Shurtleff | Pharmacist | 1116 Us Hwy 70 W, Garner, NC 27529 | 2009-07-10 |
| 1053569939 | Carole Alexandra Courcoux | Pharmacist | 2311 Timber Dr, Garner, NC 27529-2586 | 2008-09-03 |
| 1891960639 | Eryn Louise Steere | Pharmacist | 245 Timber Dr, Garner, NC 27529-5804 | 2008-04-23 |
| 1982812442 | Tammy Abbas | Pharmacist | 930 Hwy 18 West, Garner, IA 50438 | 2007-05-18 |
| 1154961290 | Garner 5th Avenue Pharmacy Inc. | Pharmacist | 1315 5th Ave, Garner, NC 27529-3637 | 2020-01-07 |
| Find all providers in GARNER | ||||
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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.