Active NPI
Jimmy Kyiwin Kabir
- Pharmacist
- Port St Lucie, FL
National Provider Identifier
1366724031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43317
- Practice address
- 826 SW Lake Charles Cir
Port St Lucie, FL 34986-3418 - Phone
- (941) 465-9771
- NPI assigned
- Sep 19, 2011
- 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 | PS43317 | FL | Primary |
Addresses
Primary practice location
826 SW Lake Charles Cir
Port St Lucie, FL 34986-3418
Mailing address
826 SW Lake Charles Cir
Port St Lucie, FL 34986-3418
Phone (941) 465-9771
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 |
|---|---|---|---|
| PS43317 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1366724031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 SW LAKE CHARLES CIR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349863418",
"telephone_number": "941-465-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 SW LAKE CHARLES CIR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349863418",
"telephone_number": "941-465-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABIR",
"first_name": "JIMMY",
"middle_name": "KYIWIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.