Individual provider Active NPI

Kimberly Neathery, PHARMD

  • Pharmacist
  • Chesapeake, VA
National Provider Identifier
1386099778
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202210037 Issued in VA
Practice address
1156 George Washington Hwy N
Chesapeake, VA 23323-4908
Phone
(757) 487-3458
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202210037 VA Primary

Addresses

Primary practice location

1156 George Washington Hwy N
Chesapeake, VA 23323-4908

Mailing address

1156 George Washington Hwy N
Chesapeake, VA 23323-4908
Phone (757) 487-3458

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

LicenseStateTypeSpecialty
0202210037VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1386099778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 GEORGE WASHINGTON HWY N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234908",
            "telephone_number": "757-487-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 GEORGE WASHINGTON HWY N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234908",
            "telephone_number": "757-487-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEATHERY",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.