Active NPI
Kimberly Denise White, PHARMD
- Pharmacist
- Stockbridge, GA
National Provider Identifier
1679019590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022165
- Practice address
- 3701 Walt Stephens Rd
Stockbridge, GA 30281-4224 - Phone
- (770) 507-1846
- Fax
- (770) 507-1876
- NPI assigned
- Jan 17, 2017
- 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 | RPH022165 | GA | Primary |
Addresses
Primary practice location
3701 Walt Stephens Rd
Stockbridge, GA 30281-4224
Mailing address
3701 Walt Stephens Rd
Stockbridge, GA 30281-4224
Phone (770) 507-1846
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 |
|---|---|---|---|
| RPH022165 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past | Accepting new patients | |
| Ingles Markets Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Acworth, GA
- NPI 1023872108
-
- Community/Retail Pharmacy
- Stockbridge, GA
- NPI 1518275957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1679019590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 WALT STEPHENS RD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302814224",
"telephone_number": "770-507-1846",
"fax_number": "770-507-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 WALT STEPHENS RD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302814224",
"telephone_number": "770-507-1846",
"fax_number": "770-507-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KIMBERLY",
"middle_name": "DENISE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.