Kimberly Dana Kiernan

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

I059356-1 Issued in NY

Practice address

570 Westbury Ave
Carle Place, NY 11514-1747

Phone

(516) 333-2400

NPI assigned

Feb 12, 2019

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

State licenses

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.

• Maple Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Carle Place, NY
  • NPI 1255462743
  NPD (past)
• PMJ Pharmacy Corp

  • Community/Retail Pharmacy
  • Carle Place, NY
  • NPI 1801268214
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1992261283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 WESTBURY AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141747",
            "telephone_number": "516-333-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WESTBURY AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141747",
            "telephone_number": "516-333-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "KIMBERLY",
        "middle_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "I059356-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J. Di Maio, MD, PC
• Rachelle Josef
• Richard Juman, PSY.D.
• Nabiha Sabah Kabir, PHARMD
• Joyce Kelton
• Yongsung Kim
• Vicki Kulberg, LCSW
• Aarti Kumar, D.P.M.
• Gregory Lacchini, M.D.
• Donna M Larussa, OTR CHT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Carle Place, NY
• Providers in Carle Place, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.