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Dr. Kimberly Smith Canaday , PharmD

Pharmacist β€’ Macclenny, FL

Active NPI 1700977451 Individual Practitioner Female Practitioner
Practice location in NPPES

159 N 3rd St
Macclenny, FL 320632103

Call 9042593151 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

159 N 3rd St

Macclenny, FL 320632103

Telephone 9042593151
Fax 9046534669
Organization at the Same NPPES Address or Phone
Comp Med Inc. Facility NPI 1194787671

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Macclenny and Florida

11 active clinicians are listed under Pharmacist with a practice address in Macclenny, FL (19,430 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Macclenny

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-09
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES FL PS50472

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Ahmed Abdelmagid , MD

Emergency Medicine

NPI 1184682049

Doctor of Medicine (M.D.)

Tiffany Braddy , APRN

Nurse Practitioner - Primary Care

NPI 1760165013

Advanced Practice Registered Nurse

Linda Heilman , ARNP

Nurse Practitioner - Family

NPI 1043755069

Advanced Registered Nurse Practitioner

Dr. Paul Jarczyk , MD

Emergency Medicine

NPI 1952322125

Doctor of Medicine (M.D.)

Dr. Pushpjeet Kanwar , MD

Internal Medicine - Gastroenterology

NPI 1912172149

Doctor of Medicine (M.D.)

Dr. Patricia White , DO

Emergency Medicine

NPI 1922026061

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 09, 2022

Registered at 159 N 3RD ST, MACCLENNY, FL 320632103 (Tel: 9042593151)

πŸ“
Updated Business Mailing Address June 09, 2022

Registered at 159 N 3RD ST, MACCLENNY, FL 320632103 (Tel: 9042593151)

πŸ‘€
Provider Name / Credentials Updated June 09, 2022

Recorded as KIMBERLY CANADAY, PHARMD

βœ…
NPI Profile Active July 25, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 25, 2013

Registered at 1436 STATE RD 121 & I-10, MACCLENNY, FL 32063 (Tel: 9042595824)

πŸ“
Business Mailing Address (Initial Record) July 25, 2013

Registered at 11018 AARON FISH RD, GLEN ST MARY, FL 320402602 (Tel: 9044838500)

πŸ‘€
Provider Name / Credentials (Initial Record) July 25, 2013

Recorded as KIMBERLY PADGETT, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2013

Pharmacist (license number reported to NPPES: FL PS50472)

🟒
Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700977451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: June 09, 2022
Sole Proprietor: Yes

Mailing Address

159 N 3rd St

Macclenny, FL 320632103

Phone: 9042593151

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.