Kilpatrick Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KILPATRICK PHARMACY INC.

Practice address

415 County Road 179
Crossville, AL 35962

Phone

(256) 593-1500

Fax

(256) 593-1501

NPI assigned

Aug 18, 2017

Last updated

Aug 18, 2017By 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

Brandon Jones

Title

Owner/Pharmacist

Phone

(256) 840-1100

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Clark Thomas Astin, RPH

  • Pharmacist
  • Boaz, AL
  • NPI 1619057833
  NPD (past)

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1861918088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 BILLY DYAR BLVD",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359577102",
            "telephone_number": "256-840-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 COUNTY ROAD 179",
            "city": "CROSSVILLE",
            "state": "AL",
            "postal_code": "35962",
            "telephone_number": "256-593-1500",
            "fax_number": "256-593-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILPATRICK PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "256-840-1100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lucas Gonzalez, MSN, CRNP, FNP-C
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• April Dawn Moreland, CRNP

• Community/Retail Pharmacy in Crossville, AL
• Providers in Crossville, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.