Active NPI
Rosamaend Ilizabeth Kitchens, RPH
- Pharmacist
- Hammond, LA
National Provider Identifier
1497858484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15205
- Practice address
- 3925 Highway 190 W
Hammond, LA 70401-4981 - Phone
- (985) 549-6886
- Fax
- (985) 549-6857
- NPI assigned
- Sep 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15205 | LA | Primary |
| Pharmacist | 183500000X | T-09853 | MS |
Addresses
Primary practice location
3925 Highway 190 W
Hammond, LA 70401-4981
Mailing address
52 Pine Square
Hammond, LA 70401
Phone (985) 419-9767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15205 | Other | LA | PHARMACIST LICENSE NUMBER |
| T-09853 | Other | MS | PHARMACIST LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15205 | LA | MD | Pharmacist |
| T-09853 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497858484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 PINE SQUARE",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70401",
"telephone_number": "985-419-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 HIGHWAY 190 W",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704014981",
"telephone_number": "985-549-6886",
"fax_number": "985-549-6857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHENS",
"first_name": "ROSAMAEND",
"middle_name": "ILIZABETH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15205",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-09853",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "15205",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "T-09853",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, 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.