Anne Carlisle Kidd, RPH BCPP

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

0202007158 Issued in VA

Practice address

1902 Braeburn Dr
Salem, VA 24153-7304

Phone

(540) 772-2835

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619049525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 SUNBERRY CIR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240187689",
            "telephone_number": "540-989-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537304",
            "telephone_number": "540-772-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "ANNE",
        "middle_name": "CARLISLE",
        "name_prefix": "Mrs.",
        "credential": "RPH BCPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "VA",
            "license": "0202007158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shehryar Khanzada, DO
• Souha Khawam, MD
• Obada Khayyat, MD
• Karen C Khuri, CRNA
• Nadeem Khuri, M.D.
• David J Killeen, D.O.
• Kye Y Kim, M.D.
• Anya Marie Kimble, MSPT
• Teresa Marie Kimmel
• Brian D. King, MD

• Psychiatric Pharmacist in Salem, VA
• Providers in Salem, VA by specialty
• Psychiatric Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.