Individual provider Active NPI

Craig Allan Kimble, PHARMD, MS, BCACP

  • Pharmacotherapy Pharmacist
  • Huntington, WV
National Provider Identifier
1437375516
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
6275 Issued in WV
Practice address
Marshall University School of Pharmacy
One John Marshall Drive, Ceb 145
Huntington, WV 25755-0001
Phone
(304) 696-6014
Fax
(304) 696-7309
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22891 OH
Pharmacotherapy Pharmacist 1835P1200X 011681 KY
Pharmacotherapy Pharmacist 1835P1200X 6275 WV Primary

Addresses

Primary practice location

Marshall University School of Pharmacy
One John Marshall Drive, Ceb 145
Huntington, WV 25755-0001

Mailing address

152 Township Road 1353
Crown City, OH 45623-8703
Phone (740) 451-0636

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
Master of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
22891OHMDPharmacist
011681KYMDPharmacotherapy Pharmacist
6275WVMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1437375516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 TOWNSHIP ROAD 1353",
            "city": "CROWN CITY",
            "state": "OH",
            "postal_code": "456238703",
            "telephone_number": "740-451-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARSHALL UNIVERSITY SCHOOL OF PHARMACY",
            "address_2": "ONE JOHN MARSHALL DRIVE, CEB 145",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257550001",
            "telephone_number": "304-696-6014",
            "fax_number": "304-696-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "CRAIG",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MS, BCACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "22891",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "KY",
            "license": "011681",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WV",
            "license": "6275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.