Kimberly Dorris, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

015969 Issued in LA

Practice address

6091 Mer Rouge Rd
Bastrop, LA 71220-6709

Phone

(318) 281-3564

Fax

(318) 283-6058

NPI assigned

Jul 26, 2014

Sex

Female

Sole proprietor

No

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

Registered Pharmacist

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.

• Meghan L. McNease, OD, LLC

  • Optometrist
  • Bastrop, LA
  • NPI 1255762035
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1669880357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 MER ROUGE RD",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712206709",
            "telephone_number": "318-281-3564",
            "fax_number": "318-283-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 MER ROUGE RD",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712206709",
            "telephone_number": "318-281-3564",
            "fax_number": "318-283-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORRIS",
        "first_name": "KIMBERLY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "015969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Medical Practices, L.L.C.
• Department of Health and Hospitals
• Department of Health and Hospitals
• DHH Office of Behavioral Health
• Lindsey Lenette Diel, COTA
• Tyra Dotson
• Christy Dowdy
• Tamekia Downs
• Dr James Michael Smith Apmc
• Sarah Jaclyn Drane

• Pharmacist in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.