Active NPI
Kinli Simmons, PHARMD
- Pharmacist
- Kingman, KS
National Provider Identifier
1073396032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-109548
- Practice address
- 211 N Main St
Kingman, KS 67068-1396 - Phone
- (620) 532-5113
- NPI assigned
- Aug 15, 2023
- Last updated
- Aug 15, 2023
- 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 | 1-109548 | KS | Primary |
Addresses
Primary practice location
211 N Main St
Kingman, KS 67068-1396
Mailing address
211 N Main St
Kingman, KS 67068-1396
Phone (620) 532-5113
Other practice location 1
1404 Maple St
Harper, KS 67058-1540
Phone (620) 896-7700
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-109548 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingman Drug Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1073396032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N MAIN ST",
"city": "KINGMAN",
"state": "KS",
"postal_code": "670681396",
"telephone_number": "620-532-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N MAIN ST",
"city": "KINGMAN",
"state": "KS",
"postal_code": "670681396",
"telephone_number": "620-532-5113"
}
],
"practiceLocations": [
{
"address_1": "1404 Maple St",
"address_purpose": "LOCATION",
"city": "Harper",
"state": "KS",
"postal_code": "670581540",
"country_code": "US",
"telephone_number": "620-896-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "KINLI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-109548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.