Medsource Pharmacy

LBN: Medi-K Inc
Medsource Pharmacy is an health care organization with primary practice located at 505 W Vernon Ave Ste 100, Kinston NC 28501-3700. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medi-K Inc can be contacted via phone (252) 522-0353, or through Ange, Dalton via phone (252) 522-0353.

Contact Information

Primary practice address
505 W Vernon Ave Ste 100 Kinston NC 28501-3700
Phone: (252) 522-0353
Fax: (252) 523-0058
Website:
Map and Directions
Authorized official contact:
Name: Ange, Dalton RPH
Phone: (252) 522-0353

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 04233 North Carolina

Profile Details

NPI number 1548229933
LBN Legal business name Medi-K Inc
DBA Doing business as Medsource Pharmacy
Authorized official Ange, Dalton RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 31st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548229933 NPPES
Other 2068888 PK
MEDICAID 0545335 PK
MEDICAID 7701289 PK

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