Active NPI
Yvette Anita King, PHARM.D/MPH
- Pharmacist
- Slidell, LA
National Provider Identifier
1609178649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017635
- Practice address
- 1638 Chancer LN
Slidell, LA 70461-4537 - Phone
- (757) 206-7452
- NPI assigned
- Nov 24, 2010
- Last updated
- Nov 24, 2010
- 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 | 017635 | LA | Primary |
| Pharmacist | 183500000X | 0202011990 | VA |
Addresses
Primary practice location
1638 Chancer LN
Slidell, LA 70461-4537
Mailing address
1305 Gause Blvd
Slidell, LA 70458-3015
Phone (985) 641-2550
Other names 1
- Dr. Yvette Anita King-Kennedy
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202011990 | VA | MD | Pharmacist |
| 017635 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1609178649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 GAUSE BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583015",
"telephone_number": "985-641-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 CHANCER LN",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614537",
"telephone_number": "757-206-7452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "YVETTE",
"middle_name": "ANITA",
"name_prefix": "Dr.",
"credential": "PHARM.D/MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-24",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "017635",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011990",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YVETTE",
"last_name": "KING-KENNEDY",
"middle_name": "ANITA",
"prefix": "DR.",
"credential": "PHARM.D/MPH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.