Kemps Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE008636 Issued in GA

Legal business name

KEMPS PHARMACY INC

Doing business as

Reidsville Pharmacy

Practice address

246 S Main St Ste a
Reidsville, GA 30453-4663

Phone

(912) 557-4000

Fax

(912) 557-4080

NPI assigned

Nov 20, 2006

Last updated

Dec 18, 2016By 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

Hal Kemp, RPH

Title

MGR

Phone

(912) 557-4000

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• REIDSVILLE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kemps Pharmacy Inc

  dba Kemps Pharmacy

  • Community/Retail Pharmacy
  • Claxton, GA
  • NPI 1427128503

  7113981390

  Same PAC ID

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1932273307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 S MAIN ST STE A",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534663",
            "telephone_number": "912-557-4000",
            "fax_number": "912-557-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 S MAIN ST STE A",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534663",
            "telephone_number": "912-557-4000",
            "fax_number": "912-557-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "912-557-4000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008636",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00054755C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2014615",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REIDSVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine S Howington, A.A.
• Warren Allen James, MD
• Dana B Jones, CST, CSFA
• K-Lab and More
• Ihori Kameyama, LPC
• Donald Franklin Kennedy Jr., M.D.
• Brady Jane Kicklighter
• Michael Lockley, CRNA
• Mark Spivey Orthopedic Clinic LLC
• Sherry Richardson May, NP

• Community/Retail Pharmacy in Reidsville, GA
• Providers in Reidsville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.