Kims Hometown Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07255 Issued in KY

Legal business name

KIMS HOMETOWN PHARMACY INC

Doing business as

Kims Hometown Pharmacy

Practice address

865 S Highway 25 W
Williamsburg, KY 40769-1918

Phone

(606) 549-8700

Fax

(606) 544-9555

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Kimberly Jones, RPHNPI 1104992007

Title

Owner,Pic,Ao

Phone

(606) 549-7645

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KIMS HOMETOWN PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly K Jones, RPH.

  • Pharmacist
  • Williamsburg, KY
  • NPI 1104992007
  NPD (past) Authorized official

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1376700138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407690098",
            "telephone_number": "606-549-8700",
            "fax_number": "606-549-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S HIGHWAY 25 W",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691918",
            "telephone_number": "606-549-8700",
            "fax_number": "606-544-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMS HOMETOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER,PIC,AO",
        "authorized_official_telephone_number": "606-549-7645",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07255",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100039220",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIMS HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Byron Douglas Karr, OD
• Kentucky Rural Health Information Technology Network Inc (Horizon Health)
• Kentucky Rural Health Information Technology Network, Inc. (Horizon Health)
• Tarah Jean Kidd, MA
• James Wendall Killian, M.D.
• Barret Ashby Knight
• Ashley Konrad
• Sheila Denise Lambdin, APRN
• Latessa Lawson, LPCA
• Melissa Ann Lawson, MSN, APRN, FNP-C

• Community/Retail Pharmacy in Williamsburg, KY
• Providers in Williamsburg, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.