Active NPI
Michael S Kirkbride
- Geriatric Pharmacist
- Huddleston, VA
National Provider Identifier
1447535042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 0202012614
- Practice address
- 1175 Mariners Way
Unit 111
Huddleston, VA 24104-3634 - Phone
- (540) 529-0635
- NPI assigned
- Oct 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 0202012614 | VA | Primary |
| Geriatric Pharmacist | 1835G0303X | RP033600L | PA | |
| Geriatric Pharmacist | 1835G0303X | 28RI01860400 | NJ | |
| Geriatric Pharmacist | 1835G0303X | 19110 | MD | |
| Geriatric Pharmacist | 1835G0303X | 33421 | TN | |
| Geriatric Pharmacist | 1835G0303X | PD12235 | AR | |
| Geriatric Pharmacist | 1835G0303X | PS45337 | FL | |
| Geriatric Pharmacist | 1835G0303X | 014367 | KY | |
| Geriatric Pharmacist | 1835G0303X | S018429 | AZ | |
| Geriatric Pharmacist | 1835G0303X | 13732 | NE | |
| Geriatric Pharmacist | 1835G0303X | PST 019683 | LA | |
| Geriatric Pharmacist | 1835G0303X | T-12088 | MS | |
| Geriatric Pharmacist | 1835G0303X | 18185 | NV |
Addresses
Primary practice location
1175 Mariners Way
Unit 111
Huddleston, VA 24104-3634
Mailing address
PO Box 227
Huddleston, VA 24104-0227
Phone (540) 529-0635
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD12235 | AR | MD | Geriatric Pharmacist |
| S018429 | AZ | MD | Geriatric Pharmacist |
| PS45337 | FL | MD | Geriatric Pharmacist |
| 014367 | KY | MD | Geriatric Pharmacist |
| PST 019683 | LA | MD | Geriatric Pharmacist |
| 19110 | MD | MD | Geriatric Pharmacist |
| T-12088 | MS | MD | Geriatric Pharmacist |
| 13732 | NE | MD | Geriatric Pharmacist |
| 28RI01860400 | NJ | MD | Geriatric Pharmacist |
| 18185 | NV | MD | Geriatric Pharmacist |
| RP033600L | PA | MD | Geriatric Pharmacist |
| 33421 | TN | MD | Geriatric Pharmacist |
| 0202012614 | VA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1447535042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 227",
"city": "HUDDLESTON",
"state": "VA",
"postal_code": "241040227",
"telephone_number": "540-529-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 MARINERS WAY",
"address_2": "UNIT 111",
"city": "HUDDLESTON",
"state": "VA",
"postal_code": "241043634",
"telephone_number": "540-529-0635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKBRIDE",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "VA",
"license": "0202012614",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "PA",
"license": "RP033600L",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NJ",
"license": "28RI01860400",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MD",
"license": "19110",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "TN",
"license": "33421",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "AR",
"license": "PD12235",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "FL",
"license": "PS45337",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "KY",
"license": "014367",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "AZ",
"license": "S018429",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NE",
"license": "13732",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "LA",
"license": "PST 019683",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MS",
"license": "T-12088",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NV",
"license": "18185",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Meagan Johnston, OTR/L
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- Joseph M. Sullivan, DPM
- Jennifer Bryant Sydnor, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.