Organization Active NPI

Appalachian Apothecary Inc

  • Community/Retail Pharmacy
  • Waynesville, NC
National Provider Identifier
1477737237
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09971 Issued in NC
Legal business name
APPALACHIAN APOTHECARY INC
Doing business as
KIMS PHARMACY
Practice address
479 Dellwood Rd
Waynesville, NC 28786-2907
Phone
(828) 452-2313
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Kimberly FergusonNPI 1871898353
Title
Owner
Phone
(828) 507-1871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 09971 NC Primary

Addresses

Primary practice location

479 Dellwood Rd
Waynesville, NC 28786-2907

Mailing address

479 Dellwood Rd
Waynesville, NC 28786-2907
Phone (828) 452-2313

Other identifiers 2

IdentifierTypeStateIssuer
0445828MedicaidNC
2066667OtherPK

Other names 1

  • KIMS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101023000043 NC Part B Supplier - Mass Immunization (Roster Biller Only) 0547450272 Practice locations: Waynesville, NC

National Provider Directory

National Provider Directory

Locations

479 Dellwood Rd
Waynesville, NC 28786
Phone (828) 452-2313

366 Russ Ave
Ste 4
Waynesville, NC 28786
Phone (828) 452-2313

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1477737237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 DELLWOOD RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862907",
            "telephone_number": "828-452-2313",
            "fax_number": "828-452-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 DELLWOOD RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862907",
            "telephone_number": "828-452-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-507-1871"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445828",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066667",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIMS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KIMS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.