K Mart Pharmacy

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

015375 Issued in KY

Legal business name

K MART PHARMACY

Practice address

552 Culpepper Rd
Lexington, KY 40502-2414

Phone

(859) 312-8913

NPI assigned

Apr 6, 2016

Last updated

Apr 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rickie Dunn, RPH

Title

Pharmacist

Phone

(859) 312-8913

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1518321504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 CULPEPPER RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022414",
            "telephone_number": "859-312-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 CULPEPPER RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022414",
            "telephone_number": "859-312-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K MART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "RICKIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "859-312-8913",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "KY",
            "license": "015375",
            "primary": true
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Justice, D.O.
• Tori Cloar Justice, PT
• Justus Community Living
• Justus Home Care
• K & S Recovery (Infinite Paths)
• Arsene Muya Kabeya, LPCA
• Christopher Michael Kaczmarek, PT, OCS, CSCS
• Arun Rajguru Kadambi, MD
• Mariem Kader, PMHNP
• Aamir Kadri

• Community Health Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Community Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.