Active NPI
Kimberly Ann Sanders, R.PH.
- Pharmacist
- Tallassee, AL
National Provider Identifier
1154850154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25229
- Practice address
- 2190 Gilmer Ave
Tallassee, AL 36078-7123 - Phone
- (334) 991-1058
- NPI assigned
- Jun 5, 2017
- Last updated
- Jun 5, 2017
- 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 | 25229 | AL | Primary |
Addresses
Primary practice location
2190 Gilmer Ave
Tallassee, AL 36078-7123
Mailing address
548 Hickory TRL
Jacksons Gap, AL 36861-3163
Phone (334) 406-9542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252290 | Other | AL | PHARMACY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25229 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496620800000",
"number": "1154850154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 HICKORY TRL",
"city": "JACKSONS GAP",
"state": "AL",
"postal_code": "368613163",
"telephone_number": "334-406-9542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 GILMER AVE",
"city": "TALLASSEE",
"state": "AL",
"postal_code": "360787123",
"telephone_number": "334-991-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2017-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "25229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "252290",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallassee, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.