Organization Active NPI

Kingnaps Inc

  • Community/Retail Pharmacy
  • Massillon, OH
National Provider Identifier
1205920618
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021002600 Issued in OH
Legal business name
KINGNAPS INC
Practice address
2012 Lincoln Way NW
Massillon, OH 44647-6140
Phone
(330) 832-2226
Fax
(330) 832-3833
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
Kristine KingsburyNPI 1114058567
Title
Owner
Phone
(330) 832-2226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 021002600 OH Primary

Addresses

Primary practice location

2012 Lincoln Way NW
Massillon, OH 44647-6140

Mailing address

2012 Lincoln Way NW
Massillon, OH 44647-6140

Other identifiers 2

IdentifierTypeStateIssuer
2010826MedicaidOH
3663653OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDICAP PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210121002842 OH Part B Supplier - Mass Immunization (Roster Biller Only) 9335260272 Practice locations: Massillon, OH

National Provider Directory

National Provider Directory

Locations

2012 Lincoln Way NW
Massillon, OH 44647
Phone (330) 832-2226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1205920618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 LINCOLN WAY NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 LINCOLN WAY NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476140",
            "telephone_number": "330-832-2226",
            "fax_number": "330-832-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGNAPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KINGSBURY",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-832-2226"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021002600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010826",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3663653",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massillon, OH

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.