Jenny Lyn Kimmel, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0007244 Issued in WV

Practice address

1200 Edwin Miller Blvd
Martinsburg, WV 25404-3702

Phone

(304) 263-4951

NPI assigned

Sep 12, 2020

Last updated

Sep 12, 2020By 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Virginia CVS Pharmacy LLC

  dba CVS Pharmacy #17888

  • Pharmacy
  • Hurricane, WV
  • NPI 1023791787
  NPD (past)
• West Virginia CVS Pharmacy LLC

  dba CVS Pharmacy #01429

  • Pharmacy
  • Martinsburg, WV
  • NPI 1407950181
  NPD (past)

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1366057739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EDWIN MILLER BLVD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043702",
            "telephone_number": "304-263-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EDWIN MILLER BLVD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043702",
            "telephone_number": "304-263-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "JENNY",
        "middle_name": "LYN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jenny.kimmel@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1200 Edwin Miller Blvd",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254043702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jenny.kimmel@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1200 Edwin Miller Blvd",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254043702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.