MARY KIMMEL (NPI# 1346716503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346716503 |
| Entity Type | Individual |
| Full Name | MARY KIMMEL |
| Practice Address |
2470 Bedford St Johnstown PA 15904-1436 |
| Mailing Address |
615 Barnett Rd Boswell PA 15531-3005 |
| Practice Telephone | 8142665150 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP452896 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194921767 | Mary Claire Kimmel | Psychiatry & Neurology | Unc Chapel Hill Department of Psychiatry, Chapel Hill, NC 27599-7160 | 2007-06-21 |
| 1154659126 | Mary Anne Kimmel | Counselor | 18 N Main St, Suite 203, Concord, NH 03301-4926 | 2009-12-02 |
| Street Address |
2470 BEDFORD ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528367315 | Shannon Renee Walylko | Pharmacist | 2470 Bedford St, Johnstown, PA 15904-1436 | 2011-03-20 |
| 1053868141 | Andrea Ghezzi | Pharmacist | 2470 Bedford St, Johnstown, PA 15904-1436 | 2016-09-06 |
| 1124479613 | Megan Nicole Frazer | Pharmacist | 2470 Bedford St, Johnstown, PA 15904-1436 | 2016-06-26 |
| 1033401245 | Brian Lux | Pharmacist | 2470 Bedford St, Johnstown, PA 15904-1436 | 2011-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| 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 |
|---|---|---|---|---|
| 1386257202 | Brandon Cheskiewicz | Pharmacist | 178 Rudolph St, Johnstown, PA 15904-5804 | 2020-08-29 |
| 1871103622 | Melinda O'brien | Pharmacist | 4775 Larimer Pkwy Ste 100, Johnstown, CO 80534-9023 | 2020-08-06 |
| 1407466295 | Michael John Mcconnell | Pharmacist | 1087 Mckinley Ave, Johnstown, PA 15905-4321 | 2020-08-05 |
| 1235595307 | Emily Elizabeth Colvin | Pharmacist | 120 Packer St, Johnstown, PA 15904-2721 | 2016-01-05 |
| 1962801746 | Stephen Shadid | Pharmacist | 412 Diamond Blvd, Johnstown, PA 15905-2717 | 2014-08-18 |
| 1356761563 | Kevin Duong | Pharmacist | 4775 Larimer Pkwy, Johnstown, CO 80534-9022 | 2014-04-27 |
| 1801184510 | Michael Steven Fox | Pharmacist | 241 N. Comrie Ave, Johnstown, NY 12095-1506 | 2011-07-14 |
| 1790077998 | Jennifer M Goetz | Pharmacist | 1501 Scalp Ave, Johnstown, PA 15904-3308 | 2011-05-05 |
| 1639460140 | Colleen R Byrne | Pharmacist | 1759 Goucher St, Johnstown, PA 15905-1101 | 2011-05-02 |
| 1932498102 | Diane Pessolano | Pharmacist | 177 Mayluth Rd, Johnstown, PA 15904-2632 | 2011-03-28 |
| Find all providers in JOHNSTOWN | ||||
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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.