Organization Active NPI

Appalachian Wellness Inc

  • Compounding Pharmacy
  • Waynesville, NC
National Provider Identifier
1215230719
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
10637 Issued in NC
Legal business name
APPALACHIAN WELLNESS INC
Doing business as
dba Kim's Compounds and Wellness
Practice address
366 Russ Ave
Suite 3
Waynesville, NC 28786-2905
Phone
(828) 452-0911
Fax
(828) 452-0912
NPI assigned
Dec 6, 2010
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
Kimberly Ferguson, RPH
Title
Owner
Phone
(828) 452-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 10637 NC Primary

Addresses

Primary practice location

366 Russ Ave
Suite 3
Waynesville, NC 28786-2905

Mailing address

366 Russ Ave
Suite 3
Waynesville, NC 28786-2905
Phone (828) 452-0911

Other identifiers 1

IdentifierTypeStateIssuer
10637OtherNCNORTH CAROLINA BOARD OF PHARMACY

Other names 1

  • dba Kim's Compounds and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

366 Russ Ave
Ste 3
Waynesville, NC 28786
Phone (828) 452-0911

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1215230719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 RUSS AVE",
            "address_2": "SUITE 3",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862905",
            "telephone_number": "828-452-0911",
            "fax_number": "828-452-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 RUSS AVE",
            "address_2": "SUITE 3",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862905",
            "telephone_number": "828-452-0911",
            "fax_number": "828-452-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-452-0911",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NC",
            "license": "10637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF PHARMACY",
            "identifier": "10637",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Kim's Compounds and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, NC

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.