Mary Kimmel

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP452896 Issued in PA

Practice address

2525 Centreville Rd
Herndon, VA 20171-3639

Phone

(814) 444-2381

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Johnstown, PA
  • NPI 1942399605
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1346716503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13616 BRITISH MANOR CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CENTREVILLE RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713639",
            "telephone_number": "814-444-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202219673",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Kim, M.S.W., L.C.S.W.
• Daeun Kim, DMD
• Jung Kwan Kim, DC
• Rachel Kim, OD
• Robert Brent Kimble II, D.C.
• Kind-Care
• Andrew Stuart King, MD
• Heidi Marie King, PHD
• Kitswne LLC
• Adam Klein, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.