Kenneth Roy Simmons

Primary specialty

PharmacistTaxonomy code 183500000X

License

E07578 Issued in MS

Practice address

5341 Highway 25
Flowood, MS 39232-6173

Phone

(601) 992-8144

Fax

(601) 992-0231

NPI assigned

Oct 28, 2020

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1871193060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 KITTY HAWK CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478581",
            "telephone_number": "601-454-2257",
            "fax_number": "601-992-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 HIGHWAY 25",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392326173",
            "telephone_number": "601-992-8144",
            "fax_number": "601-992-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KENNETH",
        "middle_name": "ROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E07578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shields Orofacial Pain and Dental Sleep (MS Pain and Sleep)
• Wesley Shields, DMD
• Khizer M Siddiqi, MD
• Kevin Sijansky, M.D.
• Jill P Silvey, CRNA
• Nicole Simonson, LPC, NCC
• Shane Michael Sims, M.D.
• Laveena Singla
• Martha Bigelow Singletary, M.S.,M.A.,,LMFT
• Jessica Singleton, COTA/L

• Pharmacist in Flowood, MS
• Providers in Flowood, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.