Organization Active NPI

Kerr Drug Inc

  • Community/Retail Pharmacy
  • Gastonia, NC
National Provider Identifier
1003926700
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6905 Issued in NC
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

Updated by the provider on Jan 4, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3433783OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0366095MedicaidNC

Other names 1

  • KERR DRUG Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.