Kerr Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6964 Issued in NC

Legal business name

KERR DRUG INC

Practice address

1219 Buck Jones Rd
Raleigh, NC 27606-3326

Phone

(919) 467-6364

Fax

(919) 467-2796

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Mark Gregory, RPH

Title

VP of Pharmacy

Phone

(919) 544-3896

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KERR DRUG Doing business as

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1275587339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SPRING FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162822",
            "telephone_number": "919-544-3896",
            "fax_number": "919-544-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 BUCK JONES RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063326",
            "telephone_number": "919-467-6364",
            "fax_number": "919-467-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERR DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "919-544-3896",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "6964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929553",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3434379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERR DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole P Kerner, M.D.
• Trisha M Kernodle, MPT
• Kerr Drug Inc
• Kerr Drug Inc
• Kerr Drug Inc
• Kerr Drug Inc
• Kerr Drug Inc
• Kerr Drug Inc
• Kerr Drug Inc a Delaware Company
• Kerr Drug Inc a Delaware Company

• Community/Retail Pharmacy in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.