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DR. KIMBERLY KAYE DAUGHERTY PHARMD
NPI 1215053004
Pharmacist - Pharmacotherapy in Grand Rapids, MI

Active since March 22, 2007
21 MICHIGAN ST NE STE 425, GRAND RAPIDS, MI 49503(616) 391-2728(616) 391-3783 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly Kaye Daugherty Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY KAYE DAUGHERTY PHARMD (NPI 1215053004) is an individual pharmacotherapy provider in Grand Rapids, Michigan, licensed in Michigan (5302034354) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1215053004
Entity TypeIndividualFemale
Primary Taxonomy1835P1200X
Provider Legal NameDR. KIMBERLY KAYE DAUGHERTYCredential: PHARMD
Location Address21 MICHIGAN ST NE STE 425Grand Rapids, MI 49503-2530
Mailing Address2301 Rosewood Ave SeGrand Rapids, MI 49506-5268 · (616) 452-6773 · Fax (616) 391-3783
Phone(616) 391-2728
Fax(616) 391-3783
Sole ProprietorYes
Enumeration DateMarch 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215053004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
Licenses✔ Licensed in MI · 5302034354✔ Licensed in KY · 011988
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
21 MICHIGAN ST NE STE 425, Grand Rapids, MI 49503
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Daugherty's NPI number?

The NPI number for Kimberly Daugherty is 1215053004. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Kimberly Daugherty located?

Kimberly Daugherty practices at 21 Michigan St NE Ste 425, Grand Rapids, MI 49503. The listed phone number is (616) 391-2728.

What is Kimberly Daugherty's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Kimberly Daugherty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.