KRT Enterprises

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

KRT ENTERPRISES

Doing business as

Medicine Mart Pharmacy

Practice address

1401 Main St
Conway, SC 29526-3568

Phone

(843) 248-4609

Fax

(843) 488-0770

NPI assigned

Sep 30, 2009

Last updated

Sep 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kermit Randall Todd, RPHNPI 1316951320

Title

RPH/Owner

Phone

(843) 248-4609

Specialties & licenses 1

Addresses

Other names 1

• Medicine Mart Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kermit Randy Todd, RPH

  • Pharmacist
  • Conway, SC
  • NPI 1316951320
  NPD Authorized official
• Tonya Lynn Todd, RPH

  • Pharmacist
  • Conway, SC
  • NPI 1033461488
  NPD (past)

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1831423326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263568",
            "telephone_number": "843-248-4609",
            "fax_number": "843-488-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263568",
            "telephone_number": "843-248-4609",
            "fax_number": "843-488-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRT ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "843-248-4609",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Nicole Kosatschenko, FNP-C
• Nicole Kremer, PHARMD
• Shannon Dawn Kretz
• Carole Krieger, LCSW, LISW
• Tabitha Krosi, RN
• Raymond Leonard Krzyzaniak, M.D.
• Dhruva Kumbhani, AUD
• Jennifer O Kuperman, M.D.
• Paul M Kuperman, MD
• Stacey Elizabeth Lacey

• Pharmacist in Conway, SC
• Providers in Conway, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.