Active NPI
Kimberly Heard, R. PH.
- Pharmacist
- Canton, GA
National Provider Identifier
1205166477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH018191
- Practice address
- 6111 Hickory Flat Hwy
Canton, GA 30115-7253 - Phone
- (770) 479-7038
- NPI assigned
- Jan 11, 2010
- Last updated
- Jan 11, 2010
- 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 | RPH018191 | GA | Primary |
Addresses
Primary practice location
6111 Hickory Flat Hwy
Canton, GA 30115-7253
Mailing address
304 Sixes Way
Canton, GA 30114-8129
Phone (770) 720-0985
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 |
|---|---|---|---|
| RPH018191 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1205166477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 SIXES WAY",
"city": "CANTON",
"state": "GA",
"postal_code": "301148129",
"telephone_number": "770-720-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 HICKORY FLAT HWY",
"city": "CANTON",
"state": "GA",
"postal_code": "301157253",
"telephone_number": "770-479-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH018191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
- Jennifer Head, MS, CCC-SLP
- Lucy E Heagy
- Healing Oaks LLC
- Healthqwest Frontiers LLC (HealthQwest Frontiers - Canton)
- Healthstat Inc Piolax
- Heart and Soul Pediatrics LLC (Heart and Soul Pediatrics)
- Heartland Dental Care of Georgia (Family Dental of Canton)
- Hearts and Hands Therapy Services, Inc.
- Hec Primary Care, LLC
- Brandon Thomas Hector, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.