Active NPI
Keturah Kamara, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Stafford, VA
National Provider Identifier
1376146795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0202221020
- Practice address
- 14 N Stafford Complex Ctr
Stafford, VA 22556-1901 - Phone
- (540) 602-6119
- NPI assigned
- Nov 18, 2020
- Last updated
- Nov 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH100002902 | DC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0202221020 | VA | Primary |
Addresses
Primary practice location
14 N Stafford Complex Ctr
Stafford, VA 22556-1901
Mailing address
14 N Stafford Complex Ctr
Stafford, VA 22556-1901
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH100002902 | DC | MD | Pharmacist |
| 0202221020 | VA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| District of Columbia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba CVS Pharmacy # 01364
- Pharmacy
- Washington, DC
- NPI 1497859466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731110400000",
"number": "1376146795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 N STAFFORD COMPLEX CTR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225561901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 N STAFFORD COMPLEX CTR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225561901",
"telephone_number": "540-602-6119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMARA",
"first_name": "KETURAH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2024-11-09",
"certification_date": "2024-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100002902",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "VA",
"license": "0202221020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Colonial Forge Pharmacy)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Colonial Forge Medical Center Laboratory)
- Kaleidoscope Counseling, LLC
- Kaitlyn Nicole Kalisz, OTR/L
- Humie Marie Kamara
- Christie Kamenga
- Kanchan Smiles Inc (Karande Dental Care)
- Stacy Lei Kaniut
- Daisy Nicole Kaopua
- Karande Biological Dentistry LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.