Active NPI
Skylar Elizabeth Simmons
- Pharmacist
- Kinston, NC
National Provider Identifier
1043738081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27122
- Practice address
- 4101 W Vernon Ave
Kinston, NC 28501 - Phone
- (252) 527-8400
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 27122 | NC | Primary |
Addresses
Primary practice location
4101 W Vernon Ave
Kinston, NC 28501
Mailing address
2771 Copeland Farm Rd
Kinston, NC 28501-6821
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 |
|---|---|---|---|
| 27122 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1043738081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2771 COPELAND FARM RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285016821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 W VERNON AVE",
"city": "KINSTON",
"state": "NC",
"postal_code": "28501",
"telephone_number": "252-527-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SKYLAR",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.