DOUGLAS ZIMMERMAN (NPI# 1356855621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356855621 |
| Entity Type | Individual |
| Full Name | DOUGLAS ZIMMERMAN |
| Credential | PHARMD |
| Practice Address |
21 N 12th St Kansas City KS 66102-5161 |
| Practice Telephone | 9133710077 |
| Practice Fax Number | 9133712802 |
| Mailing Telephone | 9133710077 |
| Mailing Fax Number | 9133712802 |
| Enumeration Date | 2017-11-25 |
| Last Update Date | 2017-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 16586 | OK | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 2015042262 | MO | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 15044 | NE | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 1-15767 | KS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366641359 | Douglas Zimmerman | Social Worker | 425 East 58th Street, Suite 23f, New York, NY 10022-2379 | 2007-07-11 |
| 1699076422 | Douglas Scott Zimmerman | Social Worker | 760 Broadway, Brooklyn, NY 11206-5317 | 2010-11-10 |
| Street Address |
21 N 12TH ST |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66102-5161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723619 | Allison H Anderson | Pediatrics | 21 N 12th St, Suite 300, Kansas City, KS 66102-5161 | 2005-07-08 |
| 1881135200 | Jhessika A Jordan-mena | Social Worker | 21 N 12th St, Kansas City, KS 66102-5161 | 2017-03-17 |
| 1538519822 | Anthony Todd Jimenez | Dentist | 21 N 12th St, #300, Kansas City, KS 66102-5161 | 2016-06-16 |
| 1609221225 | Transitions Consulting and Education Services of Johnson County | Social Worker | 21 N 12th St, Kansas City, KS 66102-5161 | 2016-05-02 |
| 1194196733 | Elizabeth Neubauer | Physician Assistant | 21 N 12th St, Kansas City, KS 66102-5161 | 2015-10-08 |
| 1760860324 | Heeseong Lee Ha | Counselor | 21 N 12th St, Kansas City, KS 66102-5161 | 2015-05-14 |
| 1912331794 | Carol R Washington | Counselor | 21 N 12th St, Suite 470, Kansas City, KS 66102-5161 | 2013-08-28 |
| 1306181367 | Wyandotte Family Eyecare Center, LLC | Optometrist | 21 N 12th St, Kansas City, KS 66102-5161 | 2012-12-03 |
| 1154672533 | Smithville Eye Center LLC | Clinic/Center | 21 N 12th St, Kansas City, KS 66102-5161 | 2012-09-26 |
| 1750670600 | Katherine Kelsey Speer | Pediatrics | 21 N 12th St, Suite 300, Kansas City, KS 66102-5161 | 2011-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221303 | Thrive Restorative Services | Social Worker | 1911 North 62nd Street, Kansas City, KS 66102 | 2020-09-30 |
| 1962904680 | Robyn Smith | Nurse's Aide | 1711 N 58th Street, Kansas City, KS 66102 | 2018-03-08 |
| 1427564756 | Kimberly Lartey Hardeman | Midwife, Lay | 4705 Nebraska Avenue, Kansas City, KS 66102 | 2017-12-22 |
| 1396116117 | 47th Street Dental Center, LLC | Dentist | 4301 State Ave Bldg A, Kansas City, KS 66102 | 2015-10-20 |
| 1336550763 | Carlie Thomas | Case Manager/Care Coordinator | 417 North 17th Street, Kansas City, KS 66102 | 2014-05-20 |
| 1053619932 | Karla Christine Wright | Speech-Language Pathologist | 4911 State Ave/, Kansas City, KS 66102 | 2011-03-02 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1255513040 | Maureen Liddiard | Social Worker | 1223 Meadowlark Lane, Kansas City, KS 66102 | 2007-12-04 |
| 1841499175 | Lori Ann Erwin | Counselor | 1333 Meadowlark Lane, Suite 205 Tfi Family Services Behavioral Health, Kansas City, KS 66102 | 2007-07-17 |
| 1669679023 | Lynn Alan Barrett | Marriage & Family Therapist | 1301 N. 47th, Kansas City, KS 66102 | 2007-06-29 |
| Find all providers in zip 66102 | ||||
| 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 |
|---|---|---|---|---|
| 1225639065 | Kimberly Frederich | Pharmacist | 6149 N Mattox Rd, Kansas City, MO 64151-2579 | 2020-11-06 |
| 1396352753 | Alexis Cornelio | Pharmacist | 425 Washington St Apt 409, Kansas City, MO 64105-1115 | 2020-09-29 |
| 1255946513 | Kelly Robertson | Pharmacist | 3901 Rainbow Blvd # Ms 4040, Kansas City, KS 66160-8500 | 2020-09-14 |
| 1447869805 | Andrew Jay Schumacher | Pharmacist | 6119 Holmes St, Kansas City, MO 64110-3343 | 2020-07-30 |
| 1215559182 | Hetal Shah | Pharmacist | 985 Pennsylvania Ave, Kansas City, MO 64105-1315 | 2020-05-13 |
| 1447889787 | James Colin Leach | Pharmacist | 4515 Walnut St Apt 306a, Kansas City, MO 64111-7732 | 2020-04-08 |
| 1831737790 | Angela Cathleen Sanders | Pharmacist | 301 E Armour Blvd Ste 2-east, Kansas City, MO 64111-1245 | 2019-12-11 |
| 1205480837 | Janis Kay Wyland | Pharmacist | 1336 Ne 106th Ter, Kansas City, MO 64155-1746 | 2019-07-31 |
| 1962067751 | Edward Alviso | Pharmacist | 5815 N Ames Ave, Kansas City, MO 64151-2182 | 2019-05-07 |
| 1053976076 | Elaina Siegel | Pharmacist | 10238 N Mckinley Ave, Kansas City, MO 64157-7907 | 2019-05-06 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66102 |
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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.