Individual provider Active NPI

Kimberly A Ferguson, RPH

  • Pharmacist
  • Waynesville, NC
National Provider Identifier
1871898353
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11074 Issued in NC
Practice address
479 Dellwood Rd
Waynesville, NC 28786-2907
Phone
(828) 452-2313
Fax
(828) 452-5451
NPI assigned
Jan 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11074 NC Primary

Addresses

Primary practice location

479 Dellwood Rd
Waynesville, NC 28786-2907

Mailing address

479 Dellwood Rd
Waynesville, NC 28786-2907
Phone (828) 452-2313

Other identifiers 1

IdentifierTypeStateIssuer
11074OtherNCNC BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
11074NCMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Apothecary Inc CurrentSince May 14, 2023 Accepting new patients
Appalachian Apothecary Inc CurrentSince Jul 5, 2020 Accepting new patients
Appalachian Apothecary Inc Pharmacist Past Accepting new patients

Locations

366 Russ Ave
Waynesville, NC 28786
Phone (828) 452-2313

479 Dellwood Rd
Waynesville, NC 28786
Phone (828) 452-2313

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1871898353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 DELLWOOD RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862907",
            "telephone_number": "828-452-2313",
            "fax_number": "828-452-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 DELLWOOD RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862907",
            "telephone_number": "828-452-2313",
            "fax_number": "828-452-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "11074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY",
            "identifier": "11074",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.