Beam & Wease of Kings Mountain Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08039 Issued in NC

Legal business name

BEAM & WEASE OF KINGS MOUNTAIN INC

Doing business as

KM PHARMACY

Practice address

1106 Shelby Rd
Kings Mountain, NC 28086-2742

Phone

(704) 739-1698

Fax

(704) 739-4248

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

David Dellinger, PHARM.D.NPI 1134161060

Title

Owner

Phone

(704) 739-1698

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KM PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Larry Dellinger, PHARM.D.

  • Pharmacist
  • Kings Mountain, NC
  • NPI 1134161060
  NPD Authorized official

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1962440859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SHELBY RD",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862742",
            "telephone_number": "704-739-1698",
            "fax_number": "704-739-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SHELBY RD",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862742",
            "telephone_number": "704-739-1698",
            "fax_number": "704-739-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAM & WEASE OF KINGS MOUNTAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "DELLINGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-739-1698",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065961",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235855",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Barker
• Cody Evan Barrett, DDS
• Barrington on the Green Properties, LLC
• Tierra Watkins Bates
• Anton Sergeevich Bazarov, MD
• Beam & Wease of Kings Mountain, Inc.
• Kierra Trenise Bell, DPT
• Wendy Patterson Benton, RPH
• Bio-Medical Applications of North Carolina, Inc.
• Jacob Henry Birkhead

• Community/Retail Pharmacy in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.