Kirsten Clay McCormick, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202011788 Issued in VA

Practice address

3231 Halifax Rd
South Boston, VA 24592-4907

Phone

(434) 572-6994

Fax

(434) 517-0070

NPI assigned

Nov 30, 2020

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

Other names 1

• Mrs. Kirsten Clay McCormick Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Virginia CVS Pharmacy, L.L.C.

  dba Cvs Pharmacy #17937

  • Pharmacy
  • Sterling, VA
  • NPI 1689558371
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1437754454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 PHILPOTT RD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245926630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 HALIFAX RD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924907",
            "telephone_number": "434-572-6994",
            "fax_number": "434-517-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "KIRSTEN",
        "middle_name": "CLAY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "MCCORMICK",
            "middle_name": "CLAY",
            "prefix": "MRS.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William C Maccarty III, M.D.
• Hector Marquez, M.D.
• Michael Alan Marvin, DPM
• Fallon Andrea Mattis, M.D.
• Barry Dodd McCormick, PA-C
• James McCubbin, M.D.
• Hugh Charles McCullough, PA-C
• Dorothy Ann McDannald, RPH
• Thomas McDonald, RPH
• Michael Weston McDowell, DO

• Pharmacist in South Boston, VA
• Providers in South Boston, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.