Organization Active NPI

Kiln Pharmacy

Doing business as Kiln Pharmacy LLC

  • Community/Retail Pharmacy
  • Kiln, MS
National Provider Identifier
1508927518
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
06727/1.1 Issued in MS
Legal business name
KILN PHARMACY
Doing business as
Kiln Pharmacy LLC
Practice address
17343 Highway 603
Unit E
Kiln, MS 39556-8389
Phone
(228) 586-1998
Fax
(228) 586-1961
NPI assigned
Dec 13, 2006
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Christopher Failla, RPH
Title
Owner
Phone
(228) 586-1998

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 06727/1.1 MS Primary

Addresses

Primary practice location

17343 Highway 603
Unit E
Kiln, MS 39556-8389

Mailing address

PO Box 187
Kiln, MS 39556-0187
Phone (228) 586-1998

Other identifiers 2

IdentifierTypeStateIssuer
2047228OtherPK
09926237MedicaidMS

Other names 1

  • KILN PHARMACY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

17343 Highway 603
Ste E
Kiln, MS 39556
Phone (228) 586-1998

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1508927518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "KILN",
            "state": "MS",
            "postal_code": "395560187",
            "telephone_number": "228-586-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17343 HIGHWAY 603",
            "address_2": "UNIT E",
            "city": "KILN",
            "state": "MS",
            "postal_code": "395568389",
            "telephone_number": "228-586-1998",
            "fax_number": "228-586-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "FAILLA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-586-1998",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "06727/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047228",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09926237",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KILN PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kiln, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.