Active NPI
Michael Kimmel, PHARM.D.
- Pharmacist
- Chelmsford, MA
National Provider Identifier
1013443209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH236331
- Practice address
- 10 Industrial Ave
Chelmsford, MA 01824-3610 - Phone
- (978) 250-1018
- NPI assigned
- May 7, 2017
- Last updated
- May 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH236331 | MA | Primary |
| Pharmacist | 183500000X | PCT.0013558 | CT |
Addresses
Primary practice location
10 Industrial Ave
Chelmsford, MA 01824-3610
Mailing address
16 Cannongate Rd Apt 5
Tyngsboro, MA 01879-1415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0013558 | CT | MD | Pharmacist |
| PH236331 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494115200000",
"number": "1013443209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CANNONGATE RD APT 5",
"city": "TYNGSBORO",
"state": "MA",
"postal_code": "018791415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 INDUSTRIAL AVE",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018243610",
"telephone_number": "978-250-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMEL",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-07",
"last_updated": "2017-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH236331",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0013558",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.