Katherine Mackenzie Wood Wimbley, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028879 Issued in GA

Practice address

791 Atlanta St
Roswell, GA 30075-4452

Phone

(770) 992-4111

NPI assigned

May 4, 2020

Last updated

May 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlanta Pharmacy Group, Inc.

  dba Wender & Roberts Drugs - Palmetto

  • Community/Retail Pharmacy
  • Palmetto, GA
  • NPI 1881150175
  NPD (past)

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1598386351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HIGHLANDS DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886051",
            "telephone_number": "336-413-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 ATLANTA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754452",
            "telephone_number": "770-992-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBLEY",
        "first_name": "KATHERINE",
        "middle_name": "MACKENZIE WOOD",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "028879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Kay Wilson, LMT
• Kaitlyn Marie Wilson, OTR/L
• Ryan Edward Wilson, MD
• Sidney L Wilson
• Vinette Martin Wilson, NP-C
• Lori Windham, LPC
• Richard Steven Winer, M.D.
• Wendy Winer, RN
• Winn Health Labs, LLC
• David Brian Winner, OD

• Community/Retail Pharmacy in Roswell, GA
• Providers in Roswell, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.