Active NPI
Kevin Gardner, PHARMD
- Pharmacist
- Lexington, NC
National Provider Identifier
1114457033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12840
- Practice address
- 4320 S NC Highway 150
Lexington, NC 27295-5161 - Phone
- (336) 853-2744
- NPI assigned
- Jun 13, 2017
- Last updated
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12840 | NC | Primary |
Addresses
Primary practice location
4320 S NC Highway 150
Lexington, NC 27295-5161
Mailing address
416 Cove Wood Dr
Denton, NC 27239-6402
Phone (336) 250-6310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12840 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497312000000",
"number": "1114457033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 COVE WOOD DR",
"city": "DENTON",
"state": "NC",
"postal_code": "272396402",
"telephone_number": "336-250-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 S NC HIGHWAY 150",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272955161",
"telephone_number": "336-853-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "KEVIN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2017-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, NC
- Kristina Gailey, PA-C
- Robert Gallagher, LPN
- Leah Jane Gallimore, LAC
- Paula Gangopadhyay, DPM
- Faith Lockett Gardner, M.D.
- Garrett Werkman DDS PLLC
- Gaston Family Health Services Inc (Davidson Health Services Pharmacy)
- Gaston Family Health Services, Inc (Kintegra Family Dentistry - Lexington)
- Gaston Family Health Services, Inc. (Kintegra Family Medicine - Lexington)
- Gaston Family Health Services, Inc. (Kintegra Mobile Dentistry Unit East)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.