Kimberly Carroll Ward

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

14872 Issued in NC

Practice address

1031 E Mountain St BLDG 319
Kernersville, NC 27284-7998

Phone

(866) 768-8479

NPI assigned

Apr 22, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Guardian Pharmacy of Eastern NC, LLC

  • Long Term Care Pharmacy
  • Kernersville, NC
  • NPI 1730478827
  NPD (past)
• Guardian Pharmacy of Eastern NC, LLC

  • Long Term Care Pharmacy
  • Pink Hill, NC
  • NPI 1821387911
  NPD (past)

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1851035257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 ARBOR RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271042020",
            "telephone_number": "336-782-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E MOUNTAIN ST BLDG 319",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847998",
            "telephone_number": "866-768-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KIMBERLY",
        "middle_name": "CARROLL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NC",
            "license": "14872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Wallace
• Kelley Annette Wallace, DO
• Thomas Raymond Walsh, MD
• Martha Walters, LPN
• Qianyun Wang, MD
• Kimberly Dawn Ward, FNP-C
• Lance Ward, DPT
• Meredith Amy Ward, DMD
• Monica Leigh Ward, NP
• Shannon Prater Warden, MA.ED., LPC, NCC

• Geriatric Pharmacist in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Geriatric Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.