Organization Active NPI

Kinser Drugs Inc

  • Community/Retail Pharmacy
  • Kingston, TN
National Provider Identifier
1043373673
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
515 Issued in TN
Legal business name
KINSER DRUGS INC
Practice address
142 E Cumberland St
Kingston, TN 37763-2811
Phone
(865) 376-5157
Fax
(865) 376-1272
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cameron Hamby, PHARMDNPI 1245353192
Title
Pharm and Owner
Phone
(865) 376-5157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 515 TN Primary

Addresses

Primary practice location

142 E Cumberland St
Kingston, TN 37763-2811

Mailing address

142 E Cumberland St
Kingston, TN 37763-2811
Phone (865) 376-5157

Other identifiers 2

IdentifierTypeStateIssuer
9440413MedicaidTN
2095612OtherPK

Other names 1

  • KINSER DRUGS INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930066507 TN DME Supplier - Pharmacy 1052423597 Practice locations: Kingston, TN
O20210202000363 TN Part B Supplier - Mass Immunization (Roster Biller Only) 1052423597 Practice locations: Kingston, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kinser Drugs Inc142 E Cumberland St, Kingston, TN 37763-2811(865) 376-5157 Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Apr 3, 2001

National Provider Directory

National Provider Directory

Locations

142 E Cumberland St
Kingston, TN 37763
Phone (865) 376-5157

Practitioners & affiliated clinicians

Practitioners 4

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1043373673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E CUMBERLAND ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632811",
            "telephone_number": "865-376-5157",
            "fax_number": "865-376-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E CUMBERLAND ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632811",
            "telephone_number": "865-376-5157",
            "fax_number": "865-376-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSER DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "HAMBY",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "PHARM AND OWNER",
        "authorized_official_telephone_number": "865-376-5157",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9440413",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINSER DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.