Organization Active NPI

KFM Inc

  • Community/Retail Pharmacy
  • Essex, MD
National Provider Identifier
1245327436
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P00212 Issued in MD
Legal business name
KFM INC
Doing business as
FINKS PHARMACY
Practice address
901 Eastern Blvd
Essex, MD 21221-3442
Phone
(410) 686-5500
Fax
(410) 687-1070
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
John Fink
Title
Owner
Phone
(410) 686-5500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P00212 MD Primary

Addresses

Primary practice location

901 Eastern Blvd
Essex, MD 21221-3442

Mailing address

901 Eastern Blvd
Essex, MD 21221-3442
Phone (410) 686-5500

Other identifiers 2

IdentifierTypeStateIssuer
2032729OtherPK
265422900MedicaidMD

Other names 1

  • FINKS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091113000126 MD Part B Supplier - Mass Immunization (Roster Biller Only) 1355489220 Practice locations: Essex, MD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1245327436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213442",
            "telephone_number": "410-686-5500",
            "fax_number": "410-687-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213442",
            "telephone_number": "410-686-5500",
            "fax_number": "410-687-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KFM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-686-5500"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P00212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032729",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265422900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FINKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.

Verify at the official NPI Registry.