Organization Active NPI

KRX Inc

  • Community/Retail Pharmacy
  • Wilmington, NC
National Provider Identifier
1124112537
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3426637OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0655720MedicaidNC

Other names 1

  • Medicine Shoppe Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.