Individual provider Active NPI

Kimberly L. Brown-Blount, RPH

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1376766071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS30005 Issued in FL
Practice address
6800 N Dale Mabry Hwy
Suite 220
Tampa, FL 33614-3997
Phone
(813) 871-7600
Fax
(813) 871-4591
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS30005 FL Primary

Addresses

Primary practice location

6800 N Dale Mabry Hwy
Suite 220
Tampa, FL 33614-3997

Mailing address

15905 Dover Cliff Dr
Lutz, FL 33548-6197
Phone (813) 960-2953

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

LicenseStateTypeSpecialty
PS30005FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376766071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 DOVER CLIFF DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486197",
            "telephone_number": "813-960-2953",
            "fax_number": "813-264-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N DALE MABRY HWY",
            "address_2": "SUITE 220",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143997",
            "telephone_number": "813-871-7600",
            "fax_number": "813-871-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BLOUNT",
        "first_name": "KIMBERLY",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS30005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

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.

Verify at the official NPI Registry.