Active NPI
Kimberly Dawn Ferguson, PHARM.D.
- Pharmacist
- Birmingham, AL
National Provider Identifier
1316104920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14742
- Practice address
- 1222 14TH Ave S
Birmingham, AL 35205-5336 - Phone
- (205) 558-7653
- Fax
- (205) 449-9791
- NPI assigned
- May 21, 2008
- Last updated
- Oct 11, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14742 | AL | Primary |
| Pharmacist | 183500000X | 22863 | TN |
Addresses
Primary practice location
1222 14TH Ave S
Birmingham, AL 35205-5336
Mailing address
1222 14TH Ave S
Birmingham, AL 35205-5336
Phone (205) 558-7653
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 |
|---|---|---|---|
| 14742 | AL | MD | Pharmacist |
| 22863 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1316104920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 14TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352055336",
"telephone_number": "205-558-7653",
"fax_number": "205-449-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 14TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352055336",
"telephone_number": "205-558-7653",
"fax_number": "205-449-9791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14742",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "22863",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.