KIMBERLY PARK (NPI# 1992196497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992196497 |
| Entity Type | Individual |
| Full Name | KIMBERLY PARK |
| Practice Address |
436 Retail Commons Pkwy Martinsburg WV 25403-6183 |
| Mailing Address |
57 Best Rd Harpers Ferry WV 25425-5270 |
| Practice Telephone | 3042645201 |
| Mailing Telephone | 3042611727 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | PT0006236 | WV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004491 | Kimberly Park | Speech-Language Pathologist | 401 Matt Waller Dr, Richmond, MO 64085-2270 | 2019-06-28 |
| 1538571310 | Kimberly Park | Licensed Practical Nurse | 120 James St, Plattsmouth, NE 68048-2429 | 2014-05-28 |
| 1023243854 | Kimberly Nelson Park | Social Worker | 1760 W 4805 S, Taylorsville, UT 84118-1177 | 2009-05-22 |
| Street Address |
436 RETAIL COMMONS PKWY |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25403-6183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235364043 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2009-05-22 |
| 1205349263 | Andrew Allen Harmon | Pharmacist | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2017-11-13 |
| 1841689536 | Denise Matheny | Pharmacist | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2015-01-18 |
| 1508265422 | Sarah Duckwall | Pharmacist | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2014-08-15 |
| 1154695021 | Kevan Marie Lee | Pharmacist | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2012-02-23 |
| 1114213360 | Robert M Gough | Pharmacist | 436 Retail Commons Pkwy, T-2538, Martinsburg, WV 25403-6183 | 2011-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912339 | Elizabeth Hutzler | Registered Nurse | Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 | 2018-12-03 |
| 1326442146 | Jennifer Anne Markovits | Pharmacist | 1171 Horizon Way, Martinsburg, WV 25403 | 2014-10-22 |
| 1255763819 | Parkhill Counseling, LLC | Counselor | 93 Crimson Cr., Martinsburg, WV 25403 | 2013-08-06 |
| 1265556039 | Andrea Christina Petrucci Kackley | Counselor | 2914 Hedgesville Road, Apple Ridge Counseling Associates, Martinsburg, WV 25403 | 2007-03-19 |
| 1568935583 | Joy Gesford | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2019-01-03 |
| 1295203818 | Tina Cameron | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2018-11-13 |
| 1376718882 | Patricia M Hartman | Dentist | 50 Street of Dreams, Martinsburg, WV 25403 | 2008-04-25 |
| 1700217585 | Thais Gonzalez | Nurse's Aide | 416 Gantt Dr, Martinsburg, WV 25403-0281 | 2013-12-04 |
| 1407319726 | Kimberly Anne Saul | Nurse Practitioner | 3 Ceritos Trl, Martinsburg, WV 25403-0300 | 2019-04-12 |
| 1962745950 | Jason Bryce Swalm | Emergency Medicine | 3 Ceritos Trail, Martinsburg, WV 25403-0300 | 2013-03-28 |
| Find all providers in zip 25403 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275923070 | Virginia Jones | Pharmacy Technician | 340 Gregory Dr, Martinsburg, WV 25404-0757 | 2015-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073159455 | Tiffany Lambert | Pharmacy Technician | 3005 Main Hewett Creek Rd, Lake, WV 25121-7129 | 2019-11-21 |
| 1912449604 | Taylor Kamille Carte | Pharmacy Technician | 170 Joe Short Dr, Ravenswood, WV 26164-1736 | 2016-11-10 |
| 1124477351 | Danielle Grooms | Pharmacy Technician | 5449 Longview Dr, Cross Lanes, WV 25313-1514 | 2016-06-08 |
| 1750739017 | Paula Sue White | Pharmacy Technician | 169 Roberts Rd, Tornado, WV 25202 | 2016-05-27 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1427405885 | Carrie Traub | Pharmacy Technician | 1293 Canoe Run, Looneyville, WV 25259-9677 | 2016-05-16 |
| 1447607890 | Debra Lambert | Pharmacy Technician | 3045 Arnoldsburg Rd, Spencer, WV 25276-9575 | 2016-05-16 |
| 1902112493 | Carl Andrew Desplaines | Pharmacy Technician | 1123 Stafford Dr, Princeton, WV 24740-2435 | 2010-08-23 |
| 1447857347 | Courtney Dawn Kincaid | Pharmacy Technician | 104 S Eisenhower Dr, Beckley, WV 25801-4930 | 2020-10-04 |
| 1528687563 | Jennifer N Webb | Pharmacy Technician | 104 S Eisenhower Dr, Beckley, WV 25801-4930 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25403 |
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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.