Humphrey T Kem-Bumbala, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202206852 Issued in VA

Practice address

4511 John Tyler Highway
Rite Aid # 11241
Williamsburg, VA 23185

Phone

(757) 253-8003

NPI assigned

Apr 11, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1063702108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 JOHN TYLER HIGHWAY",
            "address_2": "RITE AID # 11241",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-253-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 JOHN TYLER HIGHWAY",
            "address_2": "RITE AID # 11241",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-253-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEM-BUMBALA",
        "first_name": "HUMPHREY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202206852",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18215",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100000412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy A Keller, M.D.
• Kyle Kelley
• Kathryn M Kelly, BCBA
• Kristina Marie Kelly, LMT
• Kristy Marie Kelly, DPT
• Michelyn Cynthia Kemp, PHD
• Christine Kenfield, CMT
• Ryan Kenney, MD
• Virginia O Kennison, MSPT, OCS
• Ronald V Kidd, PH.D.

• Pharmacist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.