Provider Demographics
NPI:1528653029
Name:JAMES, KIMBERLY (PHARMD)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4086 STATE HIGHWAY 160
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35079-6551
Mailing Address - Country:US
Mailing Address - Phone:205-913-8613
Mailing Address - Fax:205-590-2525
Practice Address - Street 1:4086 STATE HIGHWAY 160
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:AL
Practice Address - Zip Code:35079-6551
Practice Address - Country:US
Practice Address - Phone:205-590-1515
Practice Address - Fax:205-590-2525
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14679183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist