Kerr Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7753 Issued in NC

Legal business name

KERR DRUG INC

Doing business as

Kerr Drug

Practice address

2901 Wakefield Pines Dr
Raleigh, NC 27614-9826

Phone

(919) 569-6741

Fax

(919) 569-0401

NPI assigned

Aug 30, 2006

Last updated

Mar 1, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Gregory, RPH

Title

VP of Pharmacy

Phone

(919) 544-3896

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KERR DRUG Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1205946902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SPRING FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162822",
            "telephone_number": "919-544-3896",
            "fax_number": "919-544-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WAKEFIELD PINES DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149826",
            "telephone_number": "919-569-6741",
            "fax_number": "919-569-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERR DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "919-544-3896",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "7753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3438694",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920191",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERR DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Lee Kern, NP
• Nicole P Kerner, M.D.
• Trisha M Kernodle, MPT
• Kerr Drug Inc (Kerr Drug)
• Kerr Drug Inc (Kerr Drug)
• Kerr Drug Inc (Kerr Drug)
• Kerr Drug Inc (Kerr Drug)
• Kerr Drug Inc (Kerr Drug)
• Kerr Drug Inc (Kerr Drug)
• Kerr Drug Inc a Delaware Company (Kerr Drug 417)

• Community/Retail Pharmacy in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.