Organization Active NPI

Kims Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Cantonment, FL
National Provider Identifier
1487694139
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH21568 Issued in FL
Legal business name
KIMS FAMILY PHARMACY INC
Doing business as
Kim's Family Pharmacy, Inc
Practice address
740 N Highway 29
Cantonment, FL 32533-9595
Phone
(850) 968-5655
Fax
(850) 968-2569
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Kimberly Cadenhead, RPHNPI 1689078677
Title
Pres Reg Pharmacist and Owner
Phone
(850) 968-5655

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH21568 FL Primary

Addresses

Primary practice location

740 N Highway 29
Cantonment, FL 32533-9595

Mailing address

740 N Highway 29
Cantonment, FL 32533-9595

Other identifiers 2

IdentifierTypeStateIssuer
2005373OtherPK
031103100MedicaidFL

Other names 1

  • Kim's Family Pharmacy, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

740 N Highway 29
Cantonment, FL 32533
Phone (850) 968-5556

Practitioners & affiliated clinicians

Practitioners 1

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": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1487694139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N HIGHWAY 29",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325339595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N HIGHWAY 29",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325339595",
            "telephone_number": "850-968-5655",
            "fax_number": "850-968-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMS FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "CADENHEAD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRES REG PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "850-968-5655",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005373",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031103100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim's Family Pharmacy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cantonment, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.