Active NPI
Kinston Clinic Pharmacy
- Community/Retail Pharmacy
- Kinston, NC
National Provider Identifier
1639414915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- KINSTON CLINIC PHARMACY
- Practice address
- 701 Doctors Dr
Suite P
Kinston, NC 28501-1589 - Phone
- (252) 523-3187
- Fax
- (252) 522-2988
- NPI assigned
- Nov 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Miranda Grady Hill, PHARMD
- Title
- Pharmacy Manager
- Phone
- (252) 523-3187
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
701 Doctors Dr
Suite P
Kinston, NC 28501-1589
Mailing address
701 Doctors Dr
Suite P
Kinston, NC 28501-1589
Phone (252) 523-3187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0545236 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Kinston, NC
- NPI 1548512189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354060800000",
"number": "1639414915",
"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 DOCTORS DR",
"address_2": "SUITE P",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011589",
"telephone_number": "252-523-3187",
"fax_number": "252-522-2988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINSTON CLINIC PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-28",
"last_updated": "2012-11-28",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "MIRANDA",
"authorized_official_middle_name": "GRADY",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "252-523-3187",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0545236",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
- Bhriya Delonia Kinsey
- Kinston Assisted Living
- Kinston Cardiology Associates PA
- Kinston Charter Academy
- Kinston Chiropractic PA
- Kinston Clinic Pharmacy Inc (Dempsey's Drugs Jackson Heights)
- Kinston Clinic Pharmacy Inc
- Kinston Clinic Pharmacy Inc.
- Kinston Community Health Center, Inc
- Kinston Community Health Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.