Kim Larue, PHARMD
Individual provider Active NPI Pharmacist · Cleveland, AL
NPI 1992395560 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1992395560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14583 (AL)
- Practice address
- 36321 State Highway 79 Ste 2
Cleveland, AL 35049-3556 - Phone
- (205) 274-8000
- Fax
- (205) 274-8019
- NPI assigned
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14583 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shearue Inc | Pharmacist | Current |
Accepting new patients |
Locations
36321 State Highway 79
Ste 2
Cleveland, AL 35049
Phone (205) 274-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14583 | AL | Yes |
Addresses
Primary practice location
36321 State Highway 79 Ste 2
Cleveland, AL 35049-3556
Mailing address
PO Box 207
Cleveland, AL 35049-0207
Phone (205) 274-8000
Other providers in Cleveland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.