David M Kincaid

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18129 Issued in MS

Practice address

300 Heritage Dr Ste 200
Oxford, MS 38655-5463

Phone

(662) 234-4843

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heritage Medical Group

  • Community/Retail Pharmacy
  • Oxford, MS
  • NPI 1578215422
  NPD Authorized official
• Gathright-Reed Medical Supply LLC

  dba Gathright Reed

  • Community/Retail Pharmacy
  • Oxford, MS
  • NPI 1194880526
  NPD (past) Authorized official

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1376135319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1105",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551105",
            "telephone_number": "662-234-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HERITAGE DR STE 200",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555463",
            "telephone_number": "662-234-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "DAVID",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "18129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Zion Kim
• Yein Kim
• Elizabeth Lauren Kimberl, BSW
• Ferrick Kimmons, MSW, PCMHT
• Kirk L. Kinard, DO
• Sarah Kindervater, SLP
• Amy M King
• Jamie L King, LSW, CCSS
• Katherine E King, MA, MDIV., MSW, LMSW
• Lisa King, FNP

• Community/Retail Pharmacy in Oxford, MS
• Providers in Oxford, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.