Active NPI
Tina Simpson
- Pharmacist
- Williamsburg, KY
National Provider Identifier
1942825526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016068
- Practice address
- 589 W Highway 92
Williamsburg, KY 40769-1684 - Phone
- (606) 546-4087
- NPI assigned
- Jun 10, 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 | 016068 | KY | Primary |
Addresses
Primary practice location
589 W Highway 92
Williamsburg, KY 40769-1684
Mailing address
500 Bramblewood Dr
Corbin, KY 40701-7437
Phone (859) 626-2750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016068 | Other | KY | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016068 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1942825526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BRAMBLEWOOD DR",
"city": "CORBIN",
"state": "KY",
"postal_code": "407017437",
"telephone_number": "859-626-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 W HIGHWAY 92",
"city": "WILLIAMSBURG",
"state": "KY",
"postal_code": "407691684",
"telephone_number": "606-546-4087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "TINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "016068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "016068",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.