Active NPI
Kevin Michael Kunkle, PHARM.D.
- Pharmacist
- Greenville, SC
National Provider Identifier
1447500772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012214
- Practice address
- 1509 Roper Mountain Rd
Greenville, SC 29615 - Phone
- (864) 213-1082
- Fax
- (864) 289-0773
- NPI assigned
- Sep 13, 2012
- Last updated
- Sep 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 012214 | SC | Primary |
Addresses
Primary practice location
1509 Roper Mountain Rd
Greenville, SC 29615
Mailing address
1509 Roper Mountain Rd
Greenville, SC 29615
Phone (864) 213-1082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012214 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1447500772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 ROPER MOUNTAIN RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-213-1082",
"fax_number": "864-289-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 ROPER MOUNTAIN RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-213-1082",
"fax_number": "864-289-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKLE",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "012214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.