Provider Demographics
NPI:1467475541
Name:ROBINSON, KIMBERLY ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANN
Last Name:ROBINSON
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 1:266 REMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-7582
Mailing Address - Country:US
Mailing Address - Phone:615-989-1618
Mailing Address - Fax:
Practice Address - Street 1:1112 NASHVILLE PIKE
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-7116
Practice Address - Country:US
Practice Address - Phone:615-452-1110
Practice Address - Fax:615-452-9517
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39197183500000X
TN29214183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN29214OtherTN BOARD OF PHARMACY
FLPS39197OtherPHARMACIST STATE LICENSE
TN194626OtherNABP