Individual provider Active NPI

Kelly Kemp Stuart, PHARM.D., BCPS

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Birmingham, AL
National Provider Identifier
1528398641
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
E-09229 Issued in MS
Practice address
1100 Lee Branch LN
Birmingham, AL 35242-7298
Phone
(662) 719-4279
Fax
(205) 995-5836
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X E-09229 MS
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X E-09229 MS Primary
Pharmacotherapy Pharmacist 1835P1200X E09229 MS

Addresses

Primary practice location

1100 Lee Branch LN
Birmingham, AL 35242-7298

Mailing address

1100 Lee Branch LN
Birmingham, AL 35242-7298
Phone (662) 719-4279

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
E-09229MSMDGeriatric Pharmacist
E09229MSMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1528398641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LEE BRANCH LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427298",
            "telephone_number": "662-719-4279",
            "fax_number": "205-995-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LEE BRANCH LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427298",
            "telephone_number": "662-719-4279",
            "fax_number": "205-995-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "KELLY",
        "middle_name": "KEMP",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MS",
            "license": "E-09229",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MS",
            "license": "E-09229",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MS",
            "license": "E09229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.