Individual provider Active NPI

Michael S Kirkbride

  • Geriatric Pharmacist
  • Huddleston, VA
National Provider Identifier
1447535042
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
0202012614 Issued in VA
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

Updated by the provider on May 3, 2012

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PD12235ARMDGeriatric Pharmacist
S018429AZMDGeriatric Pharmacist
PS45337FLMDGeriatric Pharmacist
014367KYMDGeriatric Pharmacist
PST 019683LAMDGeriatric Pharmacist
19110MDMDGeriatric Pharmacist
T-12088MSMDGeriatric Pharmacist
13732NEMDGeriatric Pharmacist
28RI01860400NJMDGeriatric Pharmacist
18185NVMDGeriatric Pharmacist
RP033600LPAMDGeriatric Pharmacist
33421TNMDGeriatric Pharmacist
0202012614VAMDGeriatric 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": []
}

Other providers in Huddleston, VA

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.

Verify at the official NPI Registry.