Active NPI
Kimberly Ann Smith, PHARMD
- Pharmacist
- Atlanta, GA
National Provider Identifier
1659982676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029302
- Practice address
- 1874 Piedmont Ave NE Ste 100a
Atlanta, GA 30324-4816 - Phone
- (404) 733-6800
- Fax
- (404) 733-5848
- NPI assigned
- Aug 13, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH029302 | GA | Primary |
Addresses
Primary practice location
1874 Piedmont Ave NE Ste 100a
Atlanta, GA 30324-4816
Mailing address
1874 Piedmont Ave NE Ste 100a
Atlanta, GA 30324-4816
Phone (404) 733-6800
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 |
|---|---|---|---|
| RPH029302 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1874 Piedmont Ave NE
Ste 100A
Atlanta, GA 30324
Phone (404) 733-6800
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1659982676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1874 PIEDMONT AVE NE STE 100A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244816",
"telephone_number": "404-733-6800",
"fax_number": "404-733-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1874 PIEDMONT AVE NE STE 100A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244816",
"telephone_number": "404-733-6800",
"fax_number": "404-733-5848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.