Active NPI
Richard M Kos Jr., PHARMD
- Pharmacist
- Rocky Mount, NC
National Provider Identifier
1467773697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17044
- Practice address
- 3621 Sunset Ave
Rocky Mount, NC 27804-3411 - Phone
- (252) 443-3138
- Fax
- (252) 443-6510
- NPI assigned
- Jun 22, 2010
- Last updated
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 17044 | NC | Primary |
Addresses
Primary practice location
3621 Sunset Ave
Rocky Mount, NC 27804-3411
Mailing address
3621 Sunset Ave
Rocky Mount, NC 27804-3411
Phone (252) 443-3138
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 |
|---|---|---|---|
| 17044 | NC | MD | Pharmacist |
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": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1467773697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 SUNSET AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043411",
"telephone_number": "252-443-3138",
"fax_number": "252-443-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 SUNSET AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043411",
"telephone_number": "252-443-3138",
"fax_number": "252-443-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOS",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-22",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.