Provider Demographics
NPI:1013512961
Name:TIMNEY, JAMIE ELLEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:ELLEN
Last Name:TIMNEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 HARDY RD
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-2241
Mailing Address - Country:US
Mailing Address - Phone:540-345-9851
Mailing Address - Fax:540-345-3679
Practice Address - Street 1:1022 HARDY RD
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:VA
Practice Address - Zip Code:24179-2241
Practice Address - Country:US
Practice Address - Phone:540-345-9851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD183961835P0018X
VA02022085681835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist