Kinston Clinic Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

03193 Issued in NC

Legal business name

KINSTON CLINIC PHARMACY INC.

Practice address

701 Doctor's Drive
Suite P
Kinston, NC 28501

Phone

(252) 523-3187

Fax

(252) 522-2988

NPI assigned

Oct 2, 2006

Last updated

Dec 5, 2023By 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

Mr. Dempsey Craig Hill, RPH

Title

Pharmacist Co-Owner

Phone

(252) 523-3187

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Jacob Dale Maready, PHARMD

  • Pharmacist
  • Kinston, NC
  • NPI 1003160425
  NPD (past)
• Madison Saint-Amand

  • Pharmacist
  • Kinston, NC
  • NPI 1851016711
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1619060555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE P",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589",
            "telephone_number": "252-523-3187",
            "fax_number": "252-522-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DOCTOR'S DRIVE",
            "address_2": "SUITE P",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28501",
            "telephone_number": "252-523-3187",
            "fax_number": "252-522-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSTON CLINIC PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DEMPSEY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PHARMACIST   CO-OWNER",
        "authorized_official_telephone_number": "252-523-3187",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "03193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545236",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3413628",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinston Charter Academy
• Kinston Chiropractic PA
• Kinston Clinic Pharmacy
• Kinston Clinic Pharmacy Inc (Dempsey's Drugs Jackson Heights)
• Kinston Clinic Pharmacy Inc
• Kinston Community Health Center, Inc
• Kinston Community Health Center, Inc
• Kinston Community Health Center, Inc (Kinston Community Pharmacy)
• Kinston Community Health Center, Inc
• Kinston Community Health Center, Inc.

• Pharmacy in Kinston, NC
• Providers in Kinston, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.