Individual provider Active NPI

Kimberly R. Zimmerman, R.PH.

  • Pharmacist
  • Fairhope, AL
National Provider Identifier
1992002885
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11610 Issued in AL
Practice address
509 Richmond Cir
Fairhope, AL 36532-3125
Phone
(251) 289-9466
Fax
(251) 990-8760
NPI assigned
Feb 11, 2011
Last updated
Feb 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11610 AL Primary

Addresses

Primary practice location

509 Richmond Cir
Fairhope, AL 36532-3125

Mailing address

509 Richmond Cir
Fairhope, AL 36532-3125
Phone (251) 289-9466

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11610ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1992002885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 RICHMOND CIR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323125",
            "telephone_number": "251-289-9466",
            "fax_number": "251-990-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 RICHMOND CIR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323125",
            "telephone_number": "251-289-9466",
            "fax_number": "251-990-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KIMBERLY",
        "middle_name": "R.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "11610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.