Kaitlyns Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09226 Issued in NC

Legal business name

KAITLYNS PHARMACY INC

Doing business as

KAITLYNS PHARMACY

Practice address

9100 S Tryon St Ste a
Charlotte, NC 28273-3113

Phone

(704) 588-9623

Fax

(704) 588-9624

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Tung Vu, R.PH.NPI 1598974735

Title

Pharmacy Manager

Phone

(704) 588-9623

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• KAITLYNS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Tung T. Vu, B.S.PHARM

  • Pharmacist
  • Charlotte, NC
  • NPI 1598974735
  NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1386659985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 S TRYON ST STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733113",
            "telephone_number": "704-588-9623",
            "fax_number": "704-588-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 S TRYON ST STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733113",
            "telephone_number": "704-588-9623",
            "fax_number": "704-588-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLYNS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "TUNG",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "704-588-9623",
        "authorized_official_credential": "R.PH."
    },
    "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": "09226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065729",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426412",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704459",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAITLYNS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Lamere Kain, PA-C
• Shennelleh Kaine
• Kairos Counseling, PLLC
• April Maryam Kaiser, FNP-BC
• Barbara J. Kaiser, DPM
• Athanasios Panagiotis Kakouras, D.M.D.
• Dionysios S Kakouras, MSW, LCSW, LCAS
• Kritheeka Kalathil
• Kaleidoscope Advantage, LLC
• Kaleidoscope Counseling

• Community/Retail Pharmacy in Charlotte, NC
• Providers in Charlotte, 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 Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.