KCL Incorporated
Organization Active NPI Community/Retail Pharmacy · Somerville, TN
NPI 1326210345 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1326210345
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 4494 (TN)
- Legal business name
- KCL INCORPORATED
- Practice address
- 25 Woodbridge Rd Ste B
Ste B
Somerville, TN 38068-1242 - Phone
- (901) 466-1127
- Fax
- (901) 466-1126
- NPI assigned
- Mar 31, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Cynthia Lou Landry, PHARMD
- Title
- Owner
- Phone
- (901) 466-1127
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191014003354 | TN | Part B Supplier - Pharmacy | 8820329386 | Practice locations: Somerville, TN |
National Provider Directory
- Tax ID family
- KCL Inc
Locations
25 Woodbridge Rd
Ste B
Somerville, TN 38068
Phone (901) 466-1127
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 4494 | TN | Yes |
Addresses
Primary practice location
25 Woodbridge Rd Ste B
Ste B
Somerville, TN 38068-1242
Mailing address
25 Woodbridge Rd
Ste B
Somerville, TN 38068-1242
Phone (901) 466-1127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2095356 | Other | PK |
Other names
- LANDRYS PHARMACY
Other providers in Somerville, TN
- Savannah Pierski Hughes
- Tiffany Michelle Hunter
- Keaira Jones
- Laura Catherine Kalchbrenner
- KCL Inc
- Andrea Kathryn Kerr
- Karrie Brooke King
- Latonia Lewis
- Lyric Medical Transportation LLC
- Margaret Allison McCool
All providers in Somerville, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.