Kerr Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6923 Issued in NC

Legal business name

KERR DRUG INC

Doing business as

KERR DRUG

Practice address

848 Union St S
Concord, NC 28025-5731

Phone

(704) 786-4197

Fax

(704) 784-1902

NPI assigned

Oct 23, 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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hiep Tu, PHARMD

  • Pharmacist
  • Concord, NC
  • NPI 1538415195
  NPD (past)
• David M Young, RPH

  • Pharmacist
  • Concord, NC
  • NPI 1306152012
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1295818235",
    "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": "848 UNION ST S",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255731",
            "telephone_number": "704-786-4197",
            "fax_number": "704-784-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERR DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-01-04",
        "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": "6923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135814",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3434254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERR DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan John Kennedy, DNP, FNP-C, PMHS
• Richard C. Kennerly, PH.D.
• Shannon Marie Kenny
• Matthew Raymond Kern, MA, LPC-A
• India Kerns
• Kerr Drug Inc
• Cynthia Kerr, LCAS
• Katrina Shanta Kerr, MSW
• Kerrr Homes Incorporated
• Kerry a. Dove, DMD Ms, PLLC

• Community/Retail Pharmacy in Concord, NC
• Providers in Concord, 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 Jan 4, 2012; 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.