Active NPI
Andrea Michelle Kirby, PHARM.D.
- Pharmacist
- Columbus, GA
National Provider Identifier
1215227442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH024984
- Practice address
- 7400 Blackmon Rd
Columbus, GA 31909-4480 - Phone
- (706) 330-5214
- Fax
- (706) 330-5212
- NPI assigned
- Apr 8, 2011
- Last updated
- Aug 25, 2016
- 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 | RPH024984 | GA | Primary |
Addresses
Primary practice location
7400 Blackmon Rd
Columbus, GA 31909-4480
Mailing address
3422 Ambassador Dr
Columbus, GA 31907-2303
Phone (706) 577-2034
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 |
|---|---|---|---|
| RPH024984 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | 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.
-
dba Walmart Pharmacy 10-4421
- Community/Retail Pharmacy
- Columbus, GA
- NPI 1497139950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1215227442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3422 AMBASSADOR DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319072303",
"telephone_number": "706-577-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 BLACKMON RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319094480",
"telephone_number": "706-330-5214",
"fax_number": "706-330-5212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "ANDREA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH024984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.