KIMBERLY JO POLLARD (NPI# 1437238813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437238813 |
| Entity Type | Individual |
| Full Name | KIMBERLY JO POLLARD |
| Other Name | KIMBERLY JO CRYTZER |
| Credential | PHARMD |
| Practice Address |
1189 E. John Sims Parkway Niceville FL 32578 |
| Mailing Address |
38 Holiday Shores Ct Destin FL 32550-3954 |
| Practice Telephone | 8507293684 |
| Practice Fax Number | 8507290944 |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS36793 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780034173 | Kimberly Elizabeth Pollard | Dentist | 13600 David O Dodd Rd, Little Rock, AR 72210-2746 | 2016-06-15 |
| Street Address |
1189 E. JOHN SIMS PARKWAY |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| 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 |
|---|---|---|---|---|
| 1962734178 | Angela Pate | Pharmacist | 1140 John Sims Pkwy E, Niceville, FL 32578-2204 | 2010-02-12 |
| 1588790604 | Frank Joseph Materese | Pharmacist | 1319 Bluelake Cv, Niceville, FL 32578-4818 | 2007-02-25 |
| 1114066107 | Anna Maria Quinley | Pharmacist | 1189 John Sims Pkwy E, Niceville, FL 32578-2752 | 2007-02-06 |
| 1417558396 | Jessica Dominique Smith | Pharmacist | 1300 John Sims Pkwy E, Niceville, FL 32578-2208 | 2020-11-05 |
| 1477111441 | Thanh Dang | Pharmacist | 1520 John Sims Pkwy E, Niceville, FL 32578-2138 | 2019-06-04 |
| 1619445186 | Selena Ann Rogers | Pharmacist | 1520 John Sims Pkwy E, Niceville, FL 32578-2138 | 2018-11-02 |
| 1306320007 | Naomi Olk | Pharmacist | 1520 John Sims Pkwy E, Niceville, FL 32578-2138 | 2018-09-18 |
| 1700278769 | Lydia Simpson Sikes | Pharmacist | 4512 E Highway 20, Niceville, FL 32578-9755 | 2015-02-28 |
| 1184994246 | Michelle Mcintosh | Pharmacist | 4582 E Highway 20, Niceville, FL 32578-9724 | 2012-01-06 |
| 1033401336 | Lori Clark Cathey | Pharmacist | 1140 John Sims Pkwy E, Niceville, FL 32578-2204 | 2011-05-05 |
| Find all providers in NICEVILLE | ||||
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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.