Active NPI
Kerr Drug Inc
- Community/Retail Pharmacy
- Gastonia, NC
National Provider Identifier
1003926700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6905
- Legal business name
- KERR DRUG INC
- Practice address
- 1519 S York Rd
Gastonia, NC 28052-6137 - Phone
- (704) 867-6356
- Fax
- (704) 867-0690
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Gregory, RPH
- Title
- VP of Pharmacy
- Phone
- (919) 544-3896
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 6905 | NC | Primary |
Addresses
Primary practice location
1519 S York Rd
Gastonia, NC 28052-6137
Mailing address
3220 Spring Forest Rd
Raleigh, NC 27616-2822
Phone (919) 544-3896
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3433783 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 0366095 | Medicaid | NC |
Other names 1
- KERR DRUG
National Provider Directory
National Provider DirectoryLocations
1519 S York Rd
Gastonia, NC 28052
Phone (704) 867-6356
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Gastonia, NC
- NPI 1730431370
-
- Pharmacist
- Gastonia, NC
- NPI 1902146103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1003926700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 SPRING FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162822",
"telephone_number": "919-544-3896",
"fax_number": "919-544-7719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 S YORK RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280526137",
"telephone_number": "704-867-6356",
"fax_number": "704-867-0690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KERR DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "GREGORY",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "VP OF PHARMACY",
"authorized_official_telephone_number": "919-544-3896",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "6905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3433783",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0366095",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KERR DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.