Individual provider Active NPI

Kim Stutts, BSPHARM RPH

  • Pharmacist
  • Lexington, NC
National Provider Identifier
1548793607
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
09394 Issued in NC
Practice address
420 N Salisbury St
Lexington, NC 27292-3548
Phone
(336) 243-7475
NPI assigned
Apr 6, 2017
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 09394 NC Primary

Addresses

Primary practice location

420 N Salisbury St
Lexington, NC 27292-3548

Mailing address

420 N Salisbury St
Lexington, NC 27292-3548
Phone (336) 243-7475

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

LicenseStateTypeSpecialty
09394NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1548793607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N SALISBURY ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923548",
            "telephone_number": "336-243-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N SALISBURY ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923548",
            "telephone_number": "336-243-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTTS",
        "first_name": "KIM",
        "credential": "BSPHARM  RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "09394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.