Active NPI
Appalachian Wellness Inc
- Compounding Pharmacy
- Waynesville, NC
National Provider Identifier
1215230719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 10637
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10637 | Other | NC | NORTH CAROLINA BOARD OF PHARMACY |
Other names 1
- dba Kim's Compounds and Wellness
National Provider Directory
National Provider DirectoryLocations
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.