Active NPI
Kaylee Marie Simmons, PHARMACIST
- Pharmacist
- Wilkes Barre, PA
National Provider Identifier
1003524281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP459716
- Practice address
- 220 Highland Park Blvd
Wilkes Barre, PA 18702-6768 - Phone
- (570) 825-7890
- NPI assigned
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP459716 | PA | Primary |
Addresses
Primary practice location
220 Highland Park Blvd
Wilkes Barre, PA 18702-6768
Mailing address
144 Welles St
Nanticoke, PA 18634-4318
Phone (570) 902-5602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP459716 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Wilkes Barre, PA
- NPI 1912976820
-
- Pharmacy
- Raleigh, NC
- NPI 1467227678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1003524281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 WELLES ST",
"city": "NANTICOKE",
"state": "PA",
"postal_code": "186344318",
"telephone_number": "570-902-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HIGHLAND PARK BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026768",
"telephone_number": "570-825-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "KAYLEE",
"middle_name": "MARIE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP459716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.