Kmart3425

Primary specialty

PharmacyTaxonomy code 333600000X

License

RP0007348 Issued in WV

Legal business name

KMART3425

Practice address

5636 US Route 60
Huntington, WV 25705-2148

Phone

(304) 736-2098

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Timothy Lee Baker, PHARMACIST

Title

Staff Pharmacist

Phone

(606) 920-9933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1285012138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052148",
            "telephone_number": "304-736-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052148",
            "telephone_number": "304-736-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMART3425",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "606-920-9933",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "RP0007348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Angela Klein, MD
• Rachael Klein
• Deborah L Klimek, MD
• Deztinee Kline
• Rebecca L Klug, MD
• Chasity Knapp, PR
• KND Development 59, LLC
• Amy Knell, MS CCCS
• Evan Knight
• Angela Knipp

• Pharmacy in Huntington, WV
• Providers in Huntington, WV by specialty
• Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.