NPIMap

Organization Active NPI

KKP Holdings LLC

Doing business as Specialty Pharmacy

  • Long Term Care Pharmacy
  • Cullman, AL
National Provider Identifier
1225621196
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KKP HOLDINGS LLC
Doing business as
Specialty Pharmacy
Practice address
2104 Al Highway 157
Cullman, AL 35058-0656
Phone
(256) 734-3146
Fax
(256) 734-2179
NPI assigned
Feb 11, 2021
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KKP HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Susan Wilhite
Title
Office Manager
Phone
(256) 734-3146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2104 Al Highway 157
Cullman, AL 35058-0656

Mailing address

2104 Al Highway 157
Cullman, AL 35058-0656
Phone (256) 734-3146

Other names 1

  • Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Specialty Pharmacy2 organizations share this tax ID, including this one
Part of
Specialty Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1225621196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580656",
            "telephone_number": "256-734-3146",
            "fax_number": "256-734-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580656",
            "telephone_number": "256-734-3146",
            "fax_number": "256-734-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKP HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KKP HOLDINGS LLC",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "WILHITE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-734-3146"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.