Organization Active NPI

Appalachian Apothecary Inc

  • Pharmacist
  • Waynesville, NC
National Provider Identifier
1407153430
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9971 Issued in NC
Legal business name
APPALACHIAN APOTHECARY INC
Doing business as
Kim's Pharmacy
Practice address
366 Russ Ave
Waynesville, NC 28786-2905
Phone
(828) 452-2313
Fax
(828) 452-5451
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Kimberly Ferguson, RPHNPI 1871898353
Title
Presidnet
Phone
(828) 452-2313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 9971 NC Primary

Addresses

Primary practice location

366 Russ Ave
Waynesville, NC 28786-2905

Mailing address

366 Russ Ave
Waynesville, NC 28786-2905
Phone (828) 452-2313

Other identifiers 1

IdentifierTypeStateIssuer
0445828MedicaidNC

Other names 1

  • Kim's Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Apothecary Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407153430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 RUSS AVE",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862905",
            "telephone_number": "828-452-2313",
            "fax_number": "828-452-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 RUSS AVE",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862905",
            "telephone_number": "828-452-2313",
            "fax_number": "828-452-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "828-452-2313",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "9971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445828",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.