K L Arnold Enterprises Inc
Organization Active NPI Community/Retail Pharmacy · Cullman, AL
NPI 1154712685 · NPPES record last updated Feb 18, 2016
Key facts
- NPI
- 1154712685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 114451 (AL)
- Legal business name
- K L ARNOLD ENTERPRISES INC
- Practice address
- 1726 Cherokee Ave SW Ste a
Cullman, AL 35055-5383 - Phone
- (256) 775-7455
- Fax
- (256) 381-8065
- NPI assigned
- Feb 5, 2015
- Organization subpart
- No
Authorized official
- Name
- KL Arnold
- Title
- Owner
- Phone
- (256) 775-7455
Corporate family (same tax ID) 3
Practitioners 1
-
Kristi Jones, PHARMD
National Provider Directory
- Tax ID family
- KL Arnold Enterprises Inc
Locations
1726 Cherokee Ave SW
Ste A
Cullman, AL 35055
Phone (256) 775-7455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 114451 | AL | Yes |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1726 Cherokee Ave SW Ste a
Cullman, AL 35055-5383
Mailing address
1001 Avalon Ave
Muscle Shoals, AL 35661-2401
Phone (256) 775-7455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170102 | Medicaid | AL | |
| 2150218 | Other | PK |
Other names
- VILLAGE DISCOUNT DRUGS - CULLMAN
NPI Registry JSON
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455753600000",
"number": "1154712685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 AVALON AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612401",
"telephone_number": "256-775-7455",
"fax_number": "256-381-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 CHEROKEE AVE SW STE A",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350555383",
"telephone_number": "256-775-7455",
"fax_number": "256-381-8065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K L ARNOLD ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-05",
"last_updated": "2016-02-18",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "KL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-775-7455"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "114451",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170102",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2150218",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VILLAGE DISCOUNT DRUGS - CULLMAN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cullman, AL
- Perry Lance Justice
- K & P Pharmacy, LLC.
- K & P Pharmacy, LLC.
- K & P Pharmacy, LLC.
- K & P Pharmacy, LLC.
- Laura E Kappen
- Kari L. Bartlett, DMD, LLC Dba Dental Arts Cullman
- Vincent Thomas Karolewics
- Chelsey Lauren Karr
- John M. Kast
All providers in Cullman, AL · Community/Retail Pharmacy in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.