NPIMap

Organization Active NPI

Appalachian Apothecary Inc

  • Long Term Care Pharmacy
  • Waynesville, NC
National Provider Identifier
1073178265
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
APPALACHIAN APOTHECARY INC
Doing business as
Kim's Pharmacy LTC
Practice address
479 Dellwood Rd
Waynesville, NC 28786-2907
Phone
(828) 452-2313
NPI assigned
May 3, 2019
Organization subpart
Yes
Parent organization
APPALACHIAN APOTHECARY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Kimberly A FergusonNPI 1871898353
Title
President
Phone
(828) 452-2313

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

479 Dellwood Rd
Waynesville, NC 28786-2907

Mailing address

479 Dellwood Rd
Waynesville, NC 28786-2907
Phone (828) 452-2313

Other identifiers 1

IdentifierTypeStateIssuer
0445828MedicaidNC

Other names 1

  • Kim's Pharmacy LTC Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2183444Kim'S Pharmacy479 Dellwood Road, Waynesville, NC 28786Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Apothecary Inc4 organizations share this tax ID, including this one
Part of
Appalachian Apothecary Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

366 Russ Ave
Waynesville, NC 28786
Phone (828) 452-2313

Practitioners & affiliated clinicians

Practitioners 8

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": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1073178265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 DELLWOOD RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862907",
            "telephone_number": "828-452-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 DELLWOOD RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862907",
            "telephone_number": "828-452-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN APOTHECARY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN APOTHECARY INC",
        "enumeration_date": "2019-05-03",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-452-2313"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445828",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim's Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kim's Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.