Active NPI
Kimberley Irene Fedor, PHARMD
- Pharmacist
- Smithfield, VA
National Provider Identifier
1386943553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202208999
- Practice address
- 1200 Benns Church Blvd
Smithfield, VA 23430-6063 - Phone
- (757) 357-3254
- Fax
- (757) 357-3488
- NPI assigned
- Mar 27, 2011
- 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 | 0202208999 | VA | Primary |
| Pharmacist | 183500000X | RP440501 | PA |
Addresses
Primary practice location
1200 Benns Church Blvd
Smithfield, VA 23430-6063
Mailing address
417 Lane Cres
Smithfield, VA 23430-1651
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 |
|---|---|---|---|
| RP440501 | PA | MD | Pharmacist |
| 0202208999 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301184000000",
"number": "1386943553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 LANE CRES",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234301651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BENNS CHURCH BLVD",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234306063",
"telephone_number": "757-357-3254",
"fax_number": "757-357-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDOR",
"first_name": "KIMBERLEY",
"middle_name": "IRENE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-27",
"last_updated": "2011-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202208999",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP440501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, VA
- Empowerment Counseling Services LLC
- Encore Pilates and Physical Therapy
- Susie Faltz
- Family Medical Care of Smithfield PLC
- Dianna Krystin Farrell, AU.D.
- Meagan Michelle Flaherty, CPM, LM
- Focused Psychiatric and Mental Health Care Services, LLC
- Margaret Maria Furman-Juda
- Kaitlyn Galloway, DPT
- Lashawna Giles
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.