Active NPI
Kimberly Latham Yetzer
- Pharmacist
- Owens Cross Roads, AL
National Provider Identifier
1255817771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14702
- Practice address
- 6707 Highway 431 S
Owens Cross Roads, AL 35763-9204 - Phone
- (256) 512-5679
- NPI assigned
- Jul 17, 2018
- Last updated
- Jul 17, 2018
- 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 | 14702 | AL | Primary |
Addresses
Primary practice location
6707 Highway 431 S
Owens Cross Roads, AL 35763-9204
Mailing address
7100 Barefoot Cir SE
Owens Cross Roads, AL 35763-8710
Phone (256) 508-5298
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 |
|---|---|---|---|
| 14702 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1255817771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 BAREFOOT CIR SE",
"city": "OWENS CROSS ROADS",
"state": "AL",
"postal_code": "357638710",
"telephone_number": "256-508-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6707 HIGHWAY 431 S",
"city": "OWENS CROSS ROADS",
"state": "AL",
"postal_code": "357639204",
"telephone_number": "256-512-5679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YETZER",
"first_name": "KIMBERLY",
"middle_name": "LATHAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owens Cross Roads, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.