Provider Demographics
NPI:1912621152
Name:JONES, KIMBERLY SIMPSON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:SIMPSON
Last Name:JONES
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 1:1910 ROSS MILL RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27537-8789
Mailing Address - Country:US
Mailing Address - Phone:919-454-5558
Mailing Address - Fax:
Practice Address - Street 1:1910 ROSS MILL RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27537-8789
Practice Address - Country:US
Practice Address - Phone:919-454-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14912183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist