Active NPI
Tom Patrick Kines
- Pharmacist
- Charleston, WV
National Provider Identifier
1740815067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP5118
- Practice address
- 6097 Sissonville Dr
Charleston, WV 25312-9595 - Phone
- (304) 984-1001
- Fax
- (304) 984-1121
- NPI assigned
- Mar 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP5118 | WV | Primary |
Addresses
Primary practice location
6097 Sissonville Dr
Charleston, WV 25312-9595
Mailing address
6097 Sissonville Dr
Charleston, WV 25312-9595
Phone (304) 984-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP5118 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kines Family Pharmacy Inc | Current | Accepting new patients | |
| Kines Family Pharmacy Inc | Current | Accepting new patients |
Locations
6097 Sissonville Dr
Charleston, WV 25312
Phone (304) 984-1001
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Charleston, WV
- NPI 1245026822
-
dba Kines Family Pharmacy
- Community/Retail Pharmacy
- Charleston, WV
- NPI 1942487822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1740815067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6097 SISSONVILLE DR",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253129595",
"telephone_number": "304-984-1001",
"fax_number": "304-984-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6097 SISSONVILLE DR",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253129595",
"telephone_number": "304-984-1001",
"fax_number": "304-984-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINES",
"first_name": "TOM",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-06",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP5118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.