Active NPI
Michelle L Kimball, RPH
- Pharmacist
- Norfolk, VA
National Provider Identifier
1457567067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202010166
- Practice address
- 1170 N Military Hwy
Norfolk, VA 23502-2425 - Phone
- (757) 461-2125
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202010166 | VA | Primary |
Addresses
Primary practice location
1170 N Military Hwy
Norfolk, VA 23502-2425
Mailing address
1170 N Military Hwy
Norfolk, VA 23502-2425
Phone (757) 461-2125
Other practice location 1
7924a chesapeake blvd
norfolk, VA 23518
Phone (757) 583-7464
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202010166 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Plaza Pharmacy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Hampton, VA
- NPI 1861452377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553299200000",
"number": "1457567067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 N MILITARY HWY",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022425",
"telephone_number": "757-461-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 N MILITARY HWY",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022425",
"telephone_number": "757-461-2125"
}
],
"practiceLocations": [
{
"address_1": "7924a chesapeake blvd",
"address_purpose": "LOCATION",
"city": "norfolk",
"state": "VA",
"postal_code": "23518",
"country_code": "US",
"telephone_number": "757-583-7464",
"fax_number": "757-583-0538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMBALL",
"first_name": "MICHELLE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2019-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202010166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.