Active NPI
Kimberly A Neville
- Pharmacist
- Decatur, GA
National Provider Identifier
1255618575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020511
- Practice address
- 2781 Lavista Rd
Decatur, GA 30033-1713 - Phone
- (404) 929-1013
- NPI assigned
- Nov 15, 2011
- 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 | RPH020511 | GA | Primary |
Addresses
Primary practice location
2781 Lavista Rd
Decatur, GA 30033-1713
Mailing address
2781 Lavista Rd
Decatur, GA 30033-1713
Phone (404) 929-1013
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH020511 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1255618575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2781 LAVISTA RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300331713",
"telephone_number": "404-929-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 LAVISTA RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300331713",
"telephone_number": "404-929-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVILLE",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
- Timothy Eliger Nesmith, LPC
- Netcare Medical Clinic Decatur, Inc
- Network Medical Providers
- Gretchen Allie Neumann, RPH
- Neurology and Headache Specialists of Atl, LLC
- Stacie Nevins
- New Joshuas Circle of Hope for Mental Wellness & Recovery (NJCH)
- New Journey Medical & Aesthetics
- New Learning Center, Inc.
- New Smiles of Decatur
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.