Kemps Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE002398 Issued in GA

Legal business name

KEMPS PHARMACY INC

Doing business as

Kemps Pharmacy

Practice address

107 S Duval St
Ste a
Claxton, GA 30417-2029

Phone

(912) 739-2745

Fax

(912) 739-1125

NPI assigned

Nov 8, 2006

Last updated

Dec 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hal Kemp, PHARMD

Title

MGR

Phone

(912) 739-2745

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• KEMPS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kemps Pharmacy Inc

  dba Reidsville Pharmacy

  • Community/Retail Pharmacy
  • Reidsville, GA
  • NPI 1932273307

  7113981390

  Same PAC ID

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

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1427128503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304170097",
            "telephone_number": "912-739-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S DUVAL ST",
            "address_2": "STE A",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304172029",
            "telephone_number": "912-739-2745",
            "fax_number": "912-739-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "912-739-2745",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE002398",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00054755A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEMPS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rusty Johnson, DMD
• Samantha Maria Kaeberlein, PHARMD
• Heather Lewis, PA-C
• Living Care Hospice, LLC
• Douglas James Mackay, ATC
• Melissa D Miller, LPC
• Robert R Miller, D.M.D

• Community/Retail Pharmacy in Claxton, GA
• Providers in Claxton, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.