Kindra Lea Sloan

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

14637 Issued in AL

Practice address

1801 Highway 78 E
Jasper, AL 35501-4037

Phone

(205) 221-5110

NPI assigned

Nov 15, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1043976996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHIPP RD",
            "city": "HAYDEN",
            "state": "AL",
            "postal_code": "350798740",
            "telephone_number": "205-908-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014037",
            "telephone_number": "205-221-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "KINDRA",
        "middle_name": "LEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AL",
            "license": "14637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "k0s0g8g.s00287.us@wal-mart.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "WAL-MART STORES EAST LP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1801 Highway 78 E",
            "city": "Jasper",
            "state": "AL",
            "country_code": "US",
            "postal_code": "355014037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyler Frederick Simmons, PA
• Andrea Dee Sims, O.D.
• Roy Lee Sims, MD
• Yuriy Skrubert, MD
• Whitney Sledge, CRNP
• Smith Lake Family Care LLC
• Smith Lake Urgent Care, LLC
• Smith Lake Urgent Care, LLC
• Jana Smith
• Judson Wayne Smith, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jasper, AL
• Providers in Jasper, AL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.