Active NPI
Kingnaps Inc
- Community/Retail Pharmacy
- Massillon, OH
National Provider Identifier
1205920618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 021002600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Kingsbury
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010826 | Medicaid | OH | |
| 3663653 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- MEDICAP PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210121002842 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 9335260272 | Practice locations: Massillon, OH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Massillon, OH
- NPI 1114058567
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.