Individual provider Active NPI

Kristopher Dean McLamb, PHARMD

  • Pharmacist
  • Raleigh, NC
National Provider Identifier
1447530878
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22106 Issued in NC
Practice address
4309 New Bern Ave
Raleigh, NC 27610-1445
Phone
(919) 231-2858
Fax
(919) 231-2898
NPI assigned
Aug 17, 2011
Last updated
Aug 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22106 NC Primary

Addresses

Primary practice location

4309 New Bern Ave
Raleigh, NC 27610-1445

Mailing address

4309 New Bern Ave
Raleigh, NC 27610-1445
Phone (919) 231-2858

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

LicenseStateTypeSpecialty
22106NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina CVS Pharmacy LLC Past Accepting new patients
North Carolina CVS Pharmacy LLC Past Accepting new patients

Organizations & group practices 2

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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1447530878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101445",
            "telephone_number": "919-231-2858",
            "fax_number": "919-231-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101445",
            "telephone_number": "919-231-2858",
            "fax_number": "919-231-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAMB",
        "first_name": "KRISTOPHER",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.