Active NPI
Kimberly Ann Burgess, PHARM. D.
- Pharmacist
- Jennings, LA
National Provider Identifier
1316973183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17473
- Practice address
- 1907 Johnson St
Jennings, LA 70546-3627 - Phone
- (337) 824-1000
- Fax
- (337) 824-1012
- NPI assigned
- Jun 24, 2006
- 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 | 17473 | LA | Primary |
Addresses
Primary practice location
1907 Johnson St
Jennings, LA 70546-3627
Mailing address
601 S Saint Blaise LN
Youngsville, LA 70592-5485
Phone (337) 856-4957
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 |
|---|---|---|---|
| 17473 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316973183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S SAINT BLAISE LN",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925485",
"telephone_number": "337-856-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 JOHNSON ST",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705463627",
"telephone_number": "337-824-1000",
"fax_number": "337-824-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jennings, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.