Individual provider Active NPI

Kimberly Bernice Lockett, PHARM.D.

  • Pharmacist
  • Baton Rouge, LA
National Provider Identifier
1356649834
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16499 Issued in LA
Practice address
12810 Catalina Ave
Baton Rouge, LA 70814-7913
Phone
(225) 273-5090
Fax
(225) 778-7486
NPI assigned
Mar 7, 2011
Last updated
Mar 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16499 LA Primary

Addresses

Primary practice location

12810 Catalina Ave
Baton Rouge, LA 70814-7913

Mailing address

12810 Catalina Ave
Baton Rouge, LA 70814-7913
Phone (225) 273-5090

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

LicenseStateTypeSpecialty
16499LAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1356649834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 CATALINA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708147913",
            "telephone_number": "225-273-5090",
            "fax_number": "225-778-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 CATALINA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708147913",
            "telephone_number": "225-273-5090",
            "fax_number": "225-778-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETT",
        "first_name": "KIMBERLY",
        "middle_name": "BERNICE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.