Kim Gynelle Aarons, RPH
Individual provider Active NPI Pharmacist · Pelham, AL
NPI 1205103124 · NPPES record last updated Nov 21, 2011
Key facts
- NPI
- 1205103124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11630 (AL)
- Practice address
- 9458 Helena Rd
Pelham, AL 35124-2743 - Phone
- (205) 444-9488
- NPI assigned
- Nov 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11630 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11630 | AL | Yes |
Addresses
Primary practice location
9458 Helena Rd
Pelham, AL 35124-2743
Mailing address
9458 Helena Rd
Pelham, AL 35124-2743
Phone (205) 444-9488
Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.