NPIMap

Organization Active NPI

KL Arnold Enterprises, Inc

  • Pharmacist
  • Muscle Shoals, AL
National Provider Identifier
1801977020
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
111822 Issued in AL
Legal business name
KL ARNOLD ENTERPRISES, INC
Practice address
1001 Avalon Ave
Muscle Shoals, AL 35661-2401
Phone
(256) 381-8060
NPI assigned
Oct 17, 2006
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. KL Arnold
Title
Owner
Phone
(256) 381-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 111822 AL Primary

Addresses

Primary practice location

1001 Avalon Ave
Muscle Shoals, AL 35661-2401

Mailing address

1001 Avalon Ave
Muscle Shoals, AL 35661-2401

Other identifiers 1

IdentifierTypeStateIssuer
100003202MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930056821 AL DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 5597876011 1 other NPI on this enrollment
Practice locations: Muscle Shoals, AL
O20111220000626 AL Part B Supplier - Mass Immunization (Roster Biller Only) 5597876011 Practice locations: Muscle Shoals, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Village Discount Drugs1001 Avalon Ave, Muscle Shoals, AL 35661-2401(256) 381-8060 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Sep 20, 2011

National Provider Directory

National Provider Directory
Tax ID family
KL Arnold Enterprises Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 381-8060

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1801977020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612401",
            "telephone_number": "256-381-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KL ARNOLD ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-381-8060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "111822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003202",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.