Medi-K Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11293 Issued in NC

Legal business name

MEDI-K INC

Doing business as

MedSource Pharmacy

Practice address

2202 US Highway 258N
Kinston, NC 28504-7223

Phone

(252) 522-2200

Fax

(252) 522-2202

NPI assigned

Jun 18, 2012

Last updated

Feb 24, 2015By 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

Dalton AngeNPI 1962802835

Title

RPH/President

Phone

(252) 522-0353

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MedSource Pharmacy Doing business as

Locations

Practitioners 3

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.

• Dalton Ange

  • Pharmacist
  • Kinston, NC
  • NPI 1962802835
  NPD Authorized official
• Christopher Bryce Grady

  • Pharmacist
  • Kinston, NC
  • NPI 1154841823
  NPD (past)
• Kristina Jones Price, PHARMD

  • Pharmacist
  • Kinston, NC
  • NPI 1700210986
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1578826327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 HWY 250 N",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28504",
            "telephone_number": "252-522-2200",
            "fax_number": "252-522-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 US HIGHWAY 258N",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047223",
            "telephone_number": "252-522-2200",
            "fax_number": "252-522-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-K INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "ANGE",
        "authorized_official_first_name": "DALTON",
        "authorized_official_title_or_position": "RPH/PRESIDENT",
        "authorized_official_telephone_number": "252-522-0353"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545706",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedSource Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Royster McMullen, LPC
• Sinia Moneea McPhail, DC
• Katrina Ellen Meachem
• Susan Yvonne Meador, LPA
• Medi-K Inc (Medsource Pharmacy)
• Medicaid Made Simple LLC
• Meeker and Associates, DDS, PA (Kinston Dental Care Center)
• Kenneth Aric Meeker, DDS
• Melissa Mertely, PLLC (Melissa Mertely)
• Caitlin Trexel Melvin

• Community/Retail Pharmacy in Kinston, NC
• Providers in Kinston, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.