Provider Demographics
NPI:1720796931
Name:BERNARD, KIMBERLY ANASTASIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANASTASIA
Last Name:BERNARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KIM
Other - Middle Name:
Other - Last Name:BERNARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8877 FRANKWAY DR APT 5523
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1912
Mailing Address - Country:US
Mailing Address - Phone:832-358-6072
Mailing Address - Fax:
Practice Address - Street 1:8877 FRANKWAY DR APT 5523
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1912
Practice Address - Country:US
Practice Address - Phone:832-358-6072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX476111835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist