Active NPI
Kevin Todd Landers, PHARM.D.
- Pharmacist
- Charleston, WV
National Provider Identifier
1932138336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0006104
- Practice address
- 104 Alex LN
Charleston, WV 25304-2952 - Phone
- (304) 926-6001
- Fax
- (304) 926-8692
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0006104 | WV | Primary |
Addresses
Primary practice location
104 Alex LN
Charleston, WV 25304-2952
Mailing address
PO Box 396
Poca, WV 25159-0396
Phone (304) 755-3263
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0006104 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932138336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 396",
"city": "POCA",
"state": "WV",
"postal_code": "251590396",
"telephone_number": "304-755-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ALEX LN",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042952",
"telephone_number": "304-926-6001",
"fax_number": "304-926-8692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "KEVIN",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0006104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.