Kimberly W Matthews

Primary specialty

PharmacistTaxonomy code 183500000X

License

017731 Issued in GA

Practice address

6 W May St
Winder, GA 30680-8105

Phone

(770) 867-7407

NPI assigned

Dec 2, 2020

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

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": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1104421601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W MAY ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W MAY ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808105",
            "telephone_number": "770-867-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KIMBERLY",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "017731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malik M Malik, MBBS
• Mark P. Benner, D.D.S., P.C.
• Julie Baxter Marshall, DMD
• Mark Matson
• Matthew W. Ryan, DC PC
• Donald E. Mauney, P.A.
• Hannah J May, LPC
• Jessica Mayes, RBT
• Deshun McCluskey, PA-C
• Norman Hugh McCulloch Jr., M.D.

• Pharmacist in Winder, GA
• Providers in Winder, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.