Kimberly Ann Hines

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS20644 Issued in FL

Practice address

4730 S Florida Ave
Lakeland, FL 33813-2181

Phone

(863) 646-5471

Fax

(863) 701-0950

NPI assigned

Jan 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kimberly Ann Hines Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Publix Super Markets, Inc.

  • Community/Retail Pharmacy
  • Lakeland, FL
  • NPI 1316988801
  NPD (past)

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1093053407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132181",
            "telephone_number": "863-646-5471",
            "fax_number": "863-701-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132181",
            "telephone_number": "863-646-5471",
            "fax_number": "863-701-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS20644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HINES",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "R.PH.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon M Hinckley, ARNP
• Nicole A. Hinds, M.D.
• Peter R. Hinds, MD
• Krissy Michelle Hines-Pauly, APRN
• Chaterria D Hines
• Anunya Hiranrattana, M.D.
• Melissa Renee Hirsbrunner, CCC-SLP
• Daynet Hisley, MD
• Brooke Lindsay Hixon
• Hma Bartow-Solantic Joint Venture LLC

• Pharmacist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.