KIMBERLI JEN DO (NPI# 1477829679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477829679 |
| Entity Type | Individual |
| Full Name | KIMBERLI JEN DO |
| Credential | PHARM.D |
| Practice Address |
2250 Bedford Rd Orlando FL 32803-1443 |
| Mailing Address |
4306 Comet Ct Oviedo FL 32765-8044 |
| Practice Telephone | 4073037572 |
| Practice Fax Number | 4073039375 |
| Mailing Telephone | 4073344687 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
6710 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NABP | 219727 | 01 |
| Street Address |
2250 BEDFORD RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023567229 | Orlando Physician Specialists LLC | Urology | 2250 Bedford Rd, Orlando, FL 32803-1443 | 2016-09-28 |
| 1932652591 | Orlando Physician Specialists LLC | Internal Medicine | 2250 Bedford Rd, Orlando, FL 32803-1443 | 2016-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780053884 | Kendra Ellis | Pharmacist | 2290 Premier Row, Orlando, FL 32809-6212 | 2015-09-18 |
| 1326428574 | Tram Nhuthanh Simmons | Pharmacist | 10706 Cypress Trail Dr, Orlando, FL 32825-5035 | 2015-06-03 |
| 1427321876 | Lillian Lerae Smith | Pharmacist | 1178 Redman St Apt C, Orlando, FL 32839-3000 | 2012-02-15 |
| 1871863340 | Thu Nguyen | Pharmacist | 8207 Palazzo Ct., Orlando, FL 32836 | 2011-12-30 |
| 1811273584 | Olukayode Victor Sunmoni | Pharmacist | 7301 Victoria Cir, Orlando, FL 32835-6005 | 2011-10-26 |
| 1255418521 | Alicia Ruviene Chatman | Pharmacist | 10496 Henbury St, Orlando, FL 32832-6956 | 2006-11-01 |
| 1205444569 | Jamie Matthew Litteral | Pharmacist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-07-22 |
| 1659915809 | Alyssa Ann Roder | Pharmacist | 12550 S Orange Blossom Trl, Orlando, FL 32837-8500 | 2019-10-31 |
| 1609426287 | Sabrina Marie Perez | Pharmacist | 408 E Michigan St, Orlando, FL 32806-4542 | 2019-09-16 |
| 1053805275 | Pharmacy Care Consultants, LLC | Pharmacist | 12001 Research Pkwy Ste 236, Orlando, FL 32826-2970 | 2018-06-20 |
| Find all providers in ORLANDO | ||||
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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.