NPIMap

Organization Active NPI

KDK, Inc

Doing business as Ashland Pharmacy

  • Pharmacist
  • Ashland, MO
National Provider Identifier
1508863903
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
MO PH005676 Issued in MO
Legal business name
KDK, INC
Doing business as
Ashland Pharmacy
Practice address
113 E Broadway
Ashland, MO 65010-9301
Phone
(573) 657-2600
Fax
(573) 657-2927
NPI assigned
Jun 30, 2005
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Christina Kay Geers, RPHNPI 1427305077
Title
Pres Pic
Phone
(573) 657-2600

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
Pharmacist 183500000X MO PH005676 MO Primary

Addresses

Primary practice location

113 E Broadway
Ashland, MO 65010-9301

Mailing address

PO Box 348
113 E Broadway
Ashland, MO 65010-0348
Phone (573) 657-2600

Other identifiers 3

IdentifierTypeStateIssuer
623177003MedicaidMO
2629218OtherMONCPDP #
603177007MedicaidMO

Other names 1

  • Ashland Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1508863903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348",
            "address_2": "113 E BROADWAY",
            "city": "ASHLAND",
            "state": "MO",
            "postal_code": "650100348",
            "telephone_number": "573-657-2600",
            "fax_number": "573-657-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E BROADWAY",
            "city": "ASHLAND",
            "state": "MO",
            "postal_code": "650109301",
            "telephone_number": "573-657-2600",
            "fax_number": "573-657-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GEERS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRES PIC",
        "authorized_official_telephone_number": "573-657-2600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "MO PH005676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623177003",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "2629218",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603177007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.