Kimberly Yates Portis, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

16528 Issued in NC

Practice address

2300 Oak Ridge Rd
Oak Ridge, NC 27310-9701

Phone

(336) 644-6384

Fax

(336) 644-6758

NPI assigned

Aug 3, 2011

Last updated

Aug 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minuteclinic Diagnostic of North Carolina PC

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1699748608
  NPD (past)

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1326326646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 OAK RIDGE RD",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109701",
            "telephone_number": "336-644-6384",
            "fax_number": "336-644-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OAK RIDGE RD",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109701",
            "telephone_number": "336-644-6384",
            "fax_number": "336-644-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTIS",
        "first_name": "KIMBERLY",
        "middle_name": "YATES",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Olmsted, DDS, MS
• P 356 Enterprises, Inc (Crossroads Pharmacy)
• Malori Parsells
• Umabala Pasupala, M.D.
• Sherilyn Kay Peachey, MA, LPC
• Katie Nicole Rancer
• Bridget Renda, NP
• Marylou Rice, MA, CCC-SLP
• Melissa Rumple, PHARMD
• Aparna Satsangi, MD

• Pharmacist in Oak Ridge, NC
• Providers in Oak Ridge, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.