Active NPI
Kayce Parker, PHARMD
- Pharmacist
- Broadway, NC
National Provider Identifier
1124854989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29813
- Practice address
- 117 N Main St Unit a
Broadway, NC 27505-9500 - Phone
- (919) 276-5500
- Fax
- (888) 905-5341
- NPI assigned
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 29813 | NC | Primary |
Addresses
Primary practice location
117 N Main St Unit a
Broadway, NC 27505-9500
Mailing address
PO Box 592
Broadway, NC 27505-0592
Phone (919) 276-5500
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 |
|---|---|---|---|
| 29813 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K & J Drug LLC | Current | Accepting new patients |
Locations
117 N Main St
#A
Broadway, NC 27505
Phone (919) 276-5500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Broadway, NC
- NPI 1912741448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1124854989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 592",
"city": "BROADWAY",
"state": "NC",
"postal_code": "275050592",
"telephone_number": "919-276-5500",
"fax_number": "888-905-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N MAIN ST UNIT A",
"city": "BROADWAY",
"state": "NC",
"postal_code": "275059500",
"telephone_number": "919-276-5500",
"fax_number": "888-905-5341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "KAYCE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broadway, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.