Individual provider Active NPI

Kimberly Ann Parker, RPH

  • Pharmacist
  • Richmond, VA
National Provider Identifier
1275133647
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202012166 Issued in VA
Practice address
6920 Forest Ave
Richmond, VA 23230-1701
Phone
(804) 774-2243
Fax
(804) 774-2237
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202012166 VA Primary

Addresses

Primary practice location

6920 Forest Ave
Richmond, VA 23230-1701

Mailing address

10110 Jennings Branch CT
Mechanicsville, VA 23116-5188
Phone (804) 363-1946

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address k0p00xq.s04191@US.wal-mart.com Health Information Exchange (HIE)

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0202012166VAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: k0p00xq.s04191@us.wal-mart.com

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1275133647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 JENNINGS BRANCH CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231165188",
            "telephone_number": "804-363-1946",
            "fax_number": "804-774-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 FOREST AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301701",
            "telephone_number": "804-774-2243",
            "fax_number": "804-774-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202012166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "k0p00xq.s04191@US.wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6920 Forest Ave",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232301701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.