KPM Specialty Holdings Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PW0376 Issued in MD

Legal business name

KPM SPECIALTY HOLDINGS INC

Practice address

8700 Central Ave Ste 301
Omni Medical BLDG
Landover, MD 20785-4853

Phone

(240) 619-3407

Fax

(202) 318-0440

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Antonio Tomlinson

Title

Pharmacy Manager

Phone

(240) 619-3407

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• KPM Specialty Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1669714267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 301",
            "address_2": "OMNI MEDICAL BLDG",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854853",
            "telephone_number": "240-619-3407",
            "fax_number": "202-318-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 301",
            "address_2": "OMNI MEDICAL BLDG",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854853",
            "telephone_number": "240-619-3407",
            "fax_number": "202-318-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPM SPECIALTY HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "240-619-3407"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MD",
            "license": "PW0376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2137203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KPM Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in Landover, MD
• Providers in Landover, MD by specialty
• Specialty Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.