Individual provider Active NPI

Kingsley Orock, PHARM.D

  • Pharmacist
  • New Lebanon, OH
National Provider Identifier
1932645462
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03135990 Issued in OH
Practice address
590 W Main St
New Lebanon, OH 45345-9172
Phone
(937) 687-3456
NPI assigned
Jan 8, 2017
Last updated
Jan 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03135990 OH Primary

Addresses

Primary practice location

590 W Main St
New Lebanon, OH 45345-9172

Mailing address

590 W Main St
New Lebanon, OH 45345-9172
Phone (937) 687-3456

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

LicenseStateTypeSpecialty
03135990OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsleyan Healthcare Services Current Accepting new patients
Rite Aid of Ohio Inc Past Accepting new patients

Organizations & group practices 2

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": "1483833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483833600000",
    "number": "1932645462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W MAIN ST",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453459172",
            "telephone_number": "937-687-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W MAIN ST",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453459172",
            "telephone_number": "937-687-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROCK",
        "first_name": "KINGSLEY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03135990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; 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.