Active NPI
Everette Lee Kimbriel, RPH
- Pharmacist
- Meridian, MS
National Provider Identifier
1295173516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- D7690
- Practice address
- 2901 N Hills St
Meridian, MS 39305-2201 - Phone
- (601) 482-8197
- NPI assigned
- Jun 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | D7690 | MS | Primary |
Addresses
Primary practice location
2901 N Hills St
Meridian, MS 39305-2201
Mailing address
4403 Buckley Rd
Chunky, MS 39323-9726
Phone (601) 655-8055
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 |
|---|---|---|---|
| D7690 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370649600000",
"number": "1295173516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 BUCKLEY RD",
"city": "CHUNKY",
"state": "MS",
"postal_code": "393239726",
"telephone_number": "601-655-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 N HILLS ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393052201",
"telephone_number": "601-482-8197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBRIEL",
"first_name": "EVERETTE",
"middle_name": "LEE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-08",
"last_updated": "2013-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "D7690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.