K & D Pharmacy Inc
Organization Active NPI Pharmacy · Quitman, GA
NPI 1447541479 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1447541479
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- K & D PHARMACY INC
- Practice address
- 121 N Lee St
Quitman, GA 31643-2123 - Phone
- (229) 263-4061
- Fax
- (229) 263-5950
- NPI assigned
- Apr 25, 2011
- Organization subpart
- No
Authorized official
- Name
- Kasey Knight
- Title
- Owner
- Phone
- (229) 263-4061
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| K & D Pharmacy Inc |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooter… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120620000839 | GA | DME Supplier - Pharmacy |
9638333768 | Practice locations: Quitman, GA |
| O20231106001827 | GA | Part B Supplier - Pharmacy | 9638333768 | Practice locations: Valdosta, GA; Quitman, GA |
National Provider Directory
Locations
121 N Lee St
Quitman, GA 31643
Phone (229) 263-4061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHRE009745 | GA | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | PHRE009745 | GA | |
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X | PHRE009745 | GA |
Addresses
Primary practice location
121 N Lee St
Quitman, GA 31643-2123
Mailing address
302 E Screven St
Quitman, GA 31643-2178
Phone (229) 263-4061
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000030709A | Medicaid | GA | |
| 003169273A | Medicaid | GA | |
| 2130639 | Other | PK |
Other names
- LEE AND PICKELS DRUGSTORE
Other providers in Quitman, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.