Individual provider · Type 1 NPI

Mary Kimmel

Pharmacist · Herndon, VA

NPI number 1346716503 Active

Practice location

2525 Centreville Rd
Herndon, VA 20171-3639

Mailing address

13616 British Manor Ct
Centreville, VA 20120-1782

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X0202219673 (VA)
Pharmacist Primary 183500000XRP452896 (PA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1346716503

Mary Kimmel's National Provider Identifier is 1346716503, issued on Oct 15, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Herndon, VA. The record was last updated on May 4, 2026.