Active NPI
KRX Inc
- Community/Retail Pharmacy
- Wilmington, NC
National Provider Identifier
1124112537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- KRX INC
- Practice address
- 4202 Oleander Dr
Wilmington, NC 28403-6822 - Phone
- (910) 452-2121
- NPI assigned
- Oct 3, 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 Kesler, RPH
- Title
- Owner Pharmacist
- Phone
- (910) 452-2121
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5155 | NC | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4202 Oleander Dr
Wilmington, NC 28403-6822
Mailing address
4202 Oleander Dr
Wilmington, NC 28403-6822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3426637 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0655720 | Medicaid | NC |
Other names 1
- Medicine Shoppe Pharmacy
National Provider Directory
National Provider DirectoryLocations
4202 Oleander Dr
Wilmington, NC 28403
Phone (910) 452-2121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1124112537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4202 OLEANDER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 OLEANDER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036822",
"telephone_number": "910-452-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRX INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "KESLER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "910-452-2121",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "5155",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3426637",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0655720",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.