Active NPI
Timothy S Kitchens, RPH
- Pharmacist
- Wilmington, NC
National Provider Identifier
1821362872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11904
- Practice address
- 2601 Castle Hayne Rd Ste B
Wilmington, NC 28401-2690 - Phone
- (910) 763-6231
- Fax
- (910) 763-2983
- NPI assigned
- Mar 7, 2012
- Sex
- Male
- Sole proprietor
- No
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11904 | AL | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11904 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2601 Castle Hayne Rd Ste B
Wilmington, NC 28401-2690
Mailing address
831 S Carolina Rd
Vernon, AL 35592-3839
Phone (910) 620-4747
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0655992 | Medicaid | NC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 15, 2016.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1821362872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 S CAROLINA RD",
"city": "VERNON",
"state": "AL",
"postal_code": "355923839",
"telephone_number": "910-620-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 CASTLE HAYNE RD STE B",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284012690",
"telephone_number": "910-763-6231",
"fax_number": "910-763-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHENS",
"first_name": "TIMOTHY",
"middle_name": "S",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-07",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0655992",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.