NPIMap

Organization Active NPI

Kilmarnock Drug Co Inc

  • Long Term Care Pharmacy
  • Kilmarnock, VA
National Provider Identifier
1366497984
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201002948 Issued in VA
Legal business name
KILMARNOCK DRUG CO INC
Practice address
2 S Main St
Kilmarnock, VA 22482
Phone
(804) 435-2186
Fax
(844) 742-6569
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Kenneth Thompson, BS PHARMACY
Title
President
Phone
(804) 435-2186

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 0201002948 VA Primary

Addresses

Primary practice location

2 S Main St
Kilmarnock, VA 22482

Mailing address

PO Box 1898
P.O. Box 1898
Kilmarnock, VA 22482-1898
Phone (804) 435-2186

Other identifiers 3

IdentifierTypeStateIssuer
2105483OtherPK
009141740MedicaidVA
008505501MedicaidVA

Other names 1

  • ANCHOR PHARMACY #112 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1366497984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1898",
            "address_2": "P.O. BOX 1898",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224821898",
            "telephone_number": "804-435-2186",
            "fax_number": "844-742-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "22482",
            "telephone_number": "804-435-2186",
            "fax_number": "844-742-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILMARNOCK DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-435-2186",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201002948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105483",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009141740",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008505501",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANCHOR PHARMACY #112",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kilmarnock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.