Kimberly Yates Portis, PHARM D
Individual provider Active NPI Pharmacist · Oak Ridge, NC
NPI 1326326646 · NPPES record last updated Aug 3, 2011
Key facts
- NPI
- 1326326646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16528 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of North Carolina PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16528 | NC | Yes |
Addresses
Primary practice location
2300 Oak Ridge Rd
Oak Ridge, NC 27310-9701
Mailing address
2300 Oak Ridge Rd
Oak Ridge, NC 27310-9701
Phone (336) 644-6384
Other providers in Oak Ridge, NC
- Matthew John Olmsted
- P 356 Enterprises, Inc
- Malori Parsells
- Umabala Pasupala
- Sherilyn Kay Peachey
- Katie Nicole Rancer
- Bridget Renda
- Marylou Rice
- Melissa Rumple
- Aparna Satsangi
All providers in Oak Ridge, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.