KIMBERLY D. WHEATLEY (NPI# 1376818922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376818922 |
| Entity Type | Individual |
| Full Name | KIMBERLY D. WHEATLEY |
| Credential | PHARMD |
| Practice Address |
305 W. Quinn Rd. Pocatello ID 83202 |
| Practice Telephone | 2082384049 |
| Mailing Telephone | 2082384049 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P5936 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770792475 | Kimberly Lynn Wheatley | Physical Therapist | 250 Kenwood Hill Road, Louisville, KY 40214 | 2007-05-21 |
| 1427505601 | Kimberly Wheatley | Pharmacist | 102 N 3rd St, Bardstown, KY 40004-1526 | 2016-09-06 |
| Street Address |
305 W. QUINN RD. |
| City | POCATELLO |
| State | ID |
| Zip Code | 83202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| 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 |
|---|---|---|---|---|
| 1568078046 | Peter Chad Adamovich | Pharmacist | 3553 Summit Dr, Pocatello, ID 83201-8011 | 2020-09-19 |
| 1619523420 | Eric L Thomas | Pharmacist | 319 Roosevelt Ave, Pocatello, ID 83201-5025 | 2019-08-16 |
| 1265996003 | Emilee Risher | Pharmacist | 2442 Shayla Pl, Pocatello, ID 83201-7016 | 2019-01-25 |
| 1659855450 | Cheyanne Jane Williams | Pharmacist | 1465 Bannock Hwy, Pocatello, ID 83204-5077 | 2018-09-18 |
| 1760907869 | Rebecca Hoover | Pharmacist | 921 S 8th Ave Stop 8288, Pocatello, ID 83209-0002 | 2017-08-09 |
| 1457753394 | Allison Ann Cardona | Pharmacist | 26 Columbia St, Pocatello, ID 83201-3458 | 2014-09-23 |
| 1699191478 | Martin Joseph Reed | Pharmacist | 388 Filmore Ave, Pocatello, ID 83201 | 2014-03-17 |
| 1639506033 | Victoria Autumn Gombert Hayes | Pharmacist | 921 S 8th Ave Stop 8333, Isu College of Pharmacy, Pocatello, ID 83209-8333 | 2013-09-30 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1720346018 | Cara Mccoy | Pharmacist | 5901 Country Club Dr, Pocatello, ID 83204-4631 | 2012-04-24 |
| Find all providers in POCATELLO | ||||
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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.