James Kenneth King, R.PH
Individual provider Active NPI Pharmacist · Nitro, WV
NPI 1285933440 · NPPES record last updated Mar 26, 2011
Key facts
- NPI
- 1285933440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP0005834 (WV)
- Practice address
- 100 21St St
Nitro, WV 25143-1740 - Phone
- (304) 755-3391
- NPI assigned
- Mar 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0005834 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0005834 | WV | Yes |
Addresses
Primary practice location
100 21St St
Nitro, WV 25143-1740
Mailing address
139 Waterside Cir
Winfield, WV 25213-9551
Phone (304) 553-8808
Other providers in Nitro, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.