DR. KEVIN PAUL MCDERMOTT PHARMD PHC BCPS NPI 1629382593

NPI Information

  • NPI: 1629382593
  • Provider Name: DR. KEVIN PAUL MCDERMOTT, PHARMD, PHC, BCPS
  • Classification: Pharmacist - 1835P0018X
  • Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Entity Type: Individual
  • Address: U.S. HIGHWAY 491 NORTH
    PHARMACY DEPARTMENT
    SHIPROCK, NM
    ZIP 87420
  • Phone: (505) 368-7266

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NPI Details

DR. Kevin Paul Mcdermott, PHARMD, PHC, BCPS is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Shiprock, NM. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Kevin Paul Mcdermott, PHARMD, PHC, BCPS NPI is 1629382593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

U.S. HIGHWAY 491 NORTH
PHARMACY DEPARTMENT
SHIPROCK, NM
ZIP 87420-160
Phone: (505) 368-7266
Fax: (505) 368-7262

The enumeration date for this NPI number is 8/3/2010 and was last updated on 12/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH00070717WASHINGTONNo
2183500000XPharmacistPH00070717WASHINGTONNo
31835P1200XPharmacistPharmacotherapyPH 00070717WASHINGTONNo
4183500000XPharmacistRP00007971NEW MEXICONo
51835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPC00000217NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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