Active NPI
Beverly Williams Kanetzke, PHARMD
- Pharmacist
- Mills River, NC
National Provider Identifier
1760747224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12183
- Practice address
- 252 Rockbridge Rd
Mills River, NC 28759-3515 - Phone
- (828) 687-9045
- NPI assigned
- Jul 11, 2012
- Last updated
- Jul 11, 2012
- Sex
- Female
- 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 | 12183 | NC | Primary |
Addresses
Primary practice location
252 Rockbridge Rd
Mills River, NC 28759-3515
Mailing address
252 Rockbridge Rd
Mills River, NC 28759-3515
Phone (828) 687-9045
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12183 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1760747224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 ROCKBRIDGE RD",
"city": "MILLS RIVER",
"state": "NC",
"postal_code": "287593515",
"telephone_number": "828-687-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 ROCKBRIDGE RD",
"city": "MILLS RIVER",
"state": "NC",
"postal_code": "287593515",
"telephone_number": "828-687-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANETZKE",
"first_name": "BEVERLY",
"middle_name": "WILLIAMS",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mills River, NC
- Hendersonville Al Holdings, LLC (The Landings of Mills River)
- Horsepower of North Carolina, LLC
- Ingles Markets Inc (Ingles Pharmacy #133)
- Amy Brook Johnson, M.D.
- K. Jasinski, D.M.D., P.C. (Forest Valley Dental Care)
- Michael Aaron Kanupp, PHARM.D.
- Sonia Ivette Kay, MSW, LCSWA
- Amanda Keeler, PHARMD
- Arnold Kozak, PH.D.
- Benajah Scott Lamm, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.