KIM WIDEMAN (NPI# 1538455522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538455522 |
| Entity Type | Individual |
| Full Name | KIM WIDEMAN |
| Practice Address |
1654 Gadsden Hwy T-1773 Birmingham AL 35235-3104 |
| Practice Telephone | 2056552310 |
| Mailing Telephone | 2056552310 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13716 | AL | Pharmacy Service Providers |
| Street Address |
1654 GADSDEN HWY T-1773 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35235-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861415135 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1654 Gadsden Hwy, Birmingham, AL 35235-3104 | 2006-07-26 |
| 1255985735 | Ashley L Van Lede | Optometrist | 1654 Gadsden Hwy, Birmingham, AL 35235-3104 | 2019-08-01 |
| 1780092692 | Love Your Eyes, LLC | Optometrist | 1654 Gadsden Hwy, Birmingham, AL 35235-3104 | 2014-07-24 |
| 1699010397 | Danielle Ledet, Od LLC | Optometrist | 1654 Gadsden Hwy, Birmingham, AL 35235-3104 | 2012-12-06 |
| 1700147576 | Danielle Gonzalez Ledet | Optometrist | 1654 Gadsden Hwy, Birmingham, AL 35235-3104 | 2012-06-07 |
| 1932496965 | Karen Chappell | Pharmacist | 1654 Gadsden Hwy, T-1773, Birmingham, AL 35235-3104 | 2011-06-28 |
| 1265727838 | Alicia Bower Owens | Pharmacist | 1654 Gadsden Hwy, T-1773, Birmingham, AL 35235-3104 | 2011-06-12 |
| 1689725996 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1654 Gadsden Hwy, Birmingham, AL 35235-3104 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
| 1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
| 1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
| 1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
| Find all providers in zip 35235 | ||||
| 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 |
|---|---|---|---|---|
| 1083250443 | Donna Parker Sappington | Pharmacist | 200 Cahaba Park Cir Ste 200, Birmingham, AL 35242-8114 | 2019-11-20 |
| 1669015624 | Karen M Fleming | Pharmacist | 700 19th St S Rm 1101, Birmingham, AL 35233-1927 | 2019-10-23 |
| 1932754819 | Robert Allen Jones | Pharmacist | 1308 Narrows Point Bnd, Birmingham, AL 35242-8676 | 2019-08-07 |
| 1104383272 | Sarah Grace Betts | Pharmacist | 3009 Alisa Way, Birmingham, AL 35243-5321 | 2019-02-26 |
| 1770064321 | Joyce Yerman Coyle | Pharmacist | 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 | 2018-08-22 |
| 1245719103 | Amy Michelle Douglas | Pharmacist | 4907 Caldwell Mill Ln, Birmingham, AL 35242-4507 | 2018-08-11 |
| 1891271516 | Stacey F Van Norman | Pharmacist | 2033 Forest Meadows Cir, Birmingham, AL 35242-3348 | 2018-07-16 |
| 1578058756 | Darrow Gerrell Thomas | Pharmacist | 1004 Rue Maison Apt C, Birmingham, AL 35209-7252 | 2018-06-29 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1669995882 | Taylor Childress | Pharmacist | 700 19th St S # South, Birmingham, AL 35233-1927 | 2017-07-19 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35235 |
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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.