Yvette Anita King, PHARM.D/MPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

017635 Issued in LA

Practice address

1638 Chancer LN
Slidell, LA 70461-4537

Phone

(757) 206-7452

NPI assigned

Nov 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Yvette Anita King-Kennedy Former name

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 and National Provider Directory roles.

• Louisiana CVS Pharmacy LLC

  • Pharmacy
  • Mandeville, LA
  • NPI 1619695848
  NPD (past)
• Louisiana CVS Pharmacy, L.L.C.

  • Pharmacy
  • Slidell, LA
  • NPI 1124122056
  NPD (past)

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"
        }
    ]
}

• Elizabeth Shantell King
• Jason King, PT
• Jeannette Marie King, PHARMD
• Lillian King
• Maggie King
• Craig L Kingrea, PT
• Zane Ashton Kirby, PA-C
• Rose Tusa Kirk, MD
• Ryan Stephen Kissee, MD
• Jimmy L Kittrell Jr., MD

• All providers in Slidell, LA
• Pharmacist in Louisiana

• 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.

Verify at the official NPI Registry.