Active NPI
Kathleen Elise Dismukes, PHARMD
- Pharmacist
- Foley, AL
National Provider Identifier
1144831249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21450
- Practice address
- 698 S McKenzie St
Foley, AL 36535-3541 - Phone
- (251) 971-6258
- NPI assigned
- Aug 12, 2020
- Last updated
- Aug 12, 2020
- 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 | 21450 | AL | Primary |
Addresses
Primary practice location
698 S McKenzie St
Foley, AL 36535-3541
Mailing address
698 S McKenzie St
Foley, AL 36535-3541
Phone (251) 971-6258
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 |
|---|---|---|---|
| 21450 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1144831249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "698 S MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365353541",
"telephone_number": "251-971-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 S MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365353541",
"telephone_number": "251-971-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISMUKES",
"first_name": "KATHLEEN",
"middle_name": "ELISE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foley, AL
- Guadalupe S Delgado
- William D Denney, MD
- Denton Dental of Foley Dba Save-on Dental Care
- Thomas Stuart Depriest
- Dimitri Orgeron Medical, LLC (The Dimitri Clinic - Foley)
- Diversicare of Foley, LLC (Diversicare of Foley)
- Amanda Taylor Dixon, MS, OT, CHT
- Sydney Lannae Dixon, DPT, SCS, ATC
- Donald B Plummer LLC
- Jacqueline Elizabeth Donner-Walsh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.