Individual provider Active NPI

Kim Philip Fisher, R.PH.

  • Pharmacist
  • Salisbury, MD
National Provider Identifier
1609174150
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
O8169 Issued in MD
Practice address
1208 Parsons Rd
Salisbury, MD 21801-8436
Phone
(410) 543-8180
Fax
(410) 543-8966
NPI assigned
Mar 8, 2011
Last updated
Mar 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X O8169 MD Primary

Addresses

Primary practice location

1208 Parsons Rd
Salisbury, MD 21801-8436

Mailing address

1208 Parsons Rd
Salisbury, MD 21801-8436
Phone (410) 543-8180

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

LicenseStateTypeSpecialty
O8169MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Maryland Inc Past Accepting new patients
Rite Aid of Maryland Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1609174150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 PARSONS RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218018436",
            "telephone_number": "410-543-8180",
            "fax_number": "410-543-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 PARSONS RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218018436",
            "telephone_number": "410-543-8180",
            "fax_number": "410-543-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KIM",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "O8169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.