National Provider Identifier
Kimberly Marie Larson, PHARMD.
Kimberly Marie Larson, PHARMD. is listed in the NPPES registry with a primary specialty of Pharmacist in Jamestown, NY and a listed phone number of (716) 483-9909.
Profile Overview
- NPI
- 1306279245
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- August 14, 2013
- Last Updated
- June 28, 2021
Practice Location
- 945 Fairmount Ave
- Jamestown, NY 14701-2454
Phone: (716) 483-9909
Specialties
- Pharmacist (183500000X)
- Pharmacist (183500000X)
Full Record
- NPI
- 1306279245
- Entity Type
- Individual
- Last Name
- Larson
- First Name
- Kimberly
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- PHARMD.
- Provider Other Last Name
- Andrews
- Provider Other First Name
- Kimberly
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- PHARMD.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 945 Fairmount Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2454
- Mailing Country
- US
- Mailing Phone
- (716) 483-9909
- Mailing Fax
- (716) 483-9929
- Practice Street Address
- 945 Fairmount Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2454
- Practice Country
- US
- Practice Phone
- (716) 483-9909
- Practice Fax
- (716) 483-9929
- Enumeration Date
- August 14, 2013
- Last Updated
- June 28, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X), Pharmacist (183500000X)