Organization Active NPI

K & M Lake Placid Inc

Doing business as K & M Drugs

  • Community/Retail Pharmacy
  • Lake Placid, FL
National Provider Identifier
1912144353
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23817 Issued in FL
Legal business name
K & M LAKE PLACID INC
Doing business as
K & M Drugs
Practice address
133 Tower St
Lake Placid, FL 33852-6836
Phone
(863) 260-0100
Fax
(863) 260-0164
NPI assigned
Jan 7, 2009
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Mr. John Karmen Munson, PHARMACIST
Title
Director
Phone
(863) 517-1142

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X PH23817 FL Primary

Addresses

Primary practice location

133 Tower St
Lake Placid, FL 33852-6836

Mailing address

133 Tower St
Lake Placid, FL 33852-6836
Phone (863) 260-0100

Other identifiers 2

IdentifierTypeStateIssuer
000688300MedicaidFL
000688301MedicaidFL

Other names 1

  • K & M Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

133 Tower St
Lake Placid, FL 33852
Phone (863) 260-0100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1912144353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 TOWER ST",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338526836",
            "telephone_number": "863-260-0100",
            "fax_number": "863-260-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 TOWER ST",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338526836",
            "telephone_number": "863-260-0100",
            "fax_number": "863-260-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & M LAKE PLACID INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KARMEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-517-1142",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000688300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000688301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K & M Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Placid, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.