KNL Prescriptions LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2011012280 Issued in MO

Legal business name

KNL PRESCRIPTIONS LLC

Practice address

710 Broadway St
Cape Girardeau, MO 63701-5514

Phone

(573) 335-8207

Fax

(573) 335-4904

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Kevin Wood, PHARMD

Title

Owner

Phone

(573) 335-8207

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• BROADWAY PHARMACY Doing business as

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1265421663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 DOCTORS PARK # 7",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034956",
            "telephone_number": "573-803-2040",
            "fax_number": "573-335-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015514",
            "telephone_number": "573-335-8207",
            "fax_number": "573-335-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNL PRESCRIPTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-335-8207",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2011012280",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130422",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600200208",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROADWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teri Kluesner, LCSW
• Stacy R Klusmeier, MA, BCBA, LBA
• Katherine May Knaup, ED.S
• Debra Sue Knight, PH.D.
• Patrick Revere Knight, MD
• Leslie Hannah Faith Knott, LCSW, CRAADC
• Jeannie Marie Knotts, N.P.
• Gina Lorraine Koch, FNP-BC
• Julie Anne Weakley Koch, CCC-SLP
• Renae Jenn Morton Koehler, PA-C, MMS, DMS

• Community/Retail Pharmacy in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.