DR. KIMBERLY BREDA BOONE (NPI# 1487904983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487904983 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY BREDA BOONE |
| Credential | PHARMD |
| Practice Address |
301 N. Main Street Summerville SC 29485 |
| Practice Telephone | 8438710310 |
| Mailing Telephone | 8438710310 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10604 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376195594 | Kimberly Afton Boone | Dietitian, Registered | 1350 Concourse Ave Ste 142, Memphis, TN 38104-4570 | 2019-07-09 |
| 1124264171 | Kimberly Boone | Counselor | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2008-12-22 |
| 1265517510 | Kimberly Dawn Boone | Nurse Practitioner | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2006-10-26 |
| Street Address |
301 N. MAIN STREET |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| 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 |
|---|---|---|---|---|
| 1992324933 | Amanda Michelle Noel | Pharmacist | 127 Sago Ct, Summerville, SC 29486-2790 | 2020-04-09 |
| 1861956831 | Bich Ngoc Nguyen | Pharmacist | 301d N Main St, Summerville, SC 29483-6417 | 2019-01-24 |
| 1972964963 | Timothy Vannatta | Pharmacist | 626 Bacons Bridge Rd, Summerville, SC 29485-4102 | 2016-03-17 |
| 1740652445 | Palmetto Health and Management | Pharmacist | 343 Whispering Breeze Ln, Summerville, SC 29486-8276 | 2015-10-21 |
| 1134526361 | Michelle Ann Haracznak | Pharmacist | 10635 Dorchester Rd, Summerville, SC 29485-7610 | 2014-12-03 |
| 1760727531 | Lynne Kristine Vietri | Pharmacist | 1575 Trolley Rd, Summerville, SC 29485-8208 | 2012-12-06 |
| 1164773701 | Julie Mappus Harrington | Pharmacist | 4570 Ladson Rd, Summerville, SC 29485-8531 | 2012-09-23 |
| 1881944155 | Amanda Bone | Pharmacist | 1941 N. Main St., Summerville, SC 29483 | 2012-09-14 |
| 1588914949 | Christine D Gardner | Pharmacist | 1941 North Main St, Summerville, SC 29483 | 2012-09-13 |
| 1679846679 | Tracy Clapp | Pharmacist | 975 Bacons Bridge Rd Unit 117, Summerville, SC 29485-4189 | 2012-02-22 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
Please comment or provide details below to improve the information on DR. KIMBERLY BREDA BOONE.
| 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.