Kim Annette Parks, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

36780 Issued in TX

Practice address

113 NNW Loop 323
Tyler, TX 75702-8725

Phone

(903) 593-5369

Fax

(866) 557-3462

NPI assigned

Dec 14, 2019

Last updated

Dec 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1245878826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NNW LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028725",
            "telephone_number": "903-593-5369",
            "fax_number": "866-557-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NNW LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028725",
            "telephone_number": "903-593-5369",
            "fax_number": "866-557-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "KIM",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-14",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "36780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "36780",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimparks@brookshires.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "113 Nnw Loop 323",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757028725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristy Parker
• Michelle Parker, MD
• Shannon Parker, FNP-C
• Travis Earl Parker, D.C.
• Sharon Kay Parkinson, RPH
• Willie Joe Parks Jr., D.D.S., M.D.
• Brittany Tamar Parramore
• Kayla Marie Parrilla
• Callie Parrish
• Rebecca F Parsons

• Pharmacist in Tyler, TX
• Providers in Tyler, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.