Kimberley Sanders, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH017954 Issued in GA

Practice address

132 Victory Dr
Swainsboro, GA 30401-3235

Phone

(478) 237-3838

NPI assigned

Mar 26, 2020

Sex

Male

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 and National Provider Directory roles.

• Medical Center Pharmacy Inc

  • Community/Retail Pharmacy
  • Swainsboro, GA
  • NPI 1669522645
  NPD (past)

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1659908812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013235",
            "telephone_number": "478-237-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013235",
            "telephone_number": "478-237-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KIMBERLEY",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH017954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy Rodgerson
• Erin Rogers
• Tara Rogers, ATC
• Julia Nelle Rountree, ED.D, CCC-SLP
• Jim Sanders
• Lucille Sapp, RN
• Heather Scarboro, PHARMD
• Mary Margaret Schenk, LPC
• Melinda F Scott, PA-C
• Serengela Care Homes, LLC

• Pharmacist in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.