KKP HOLDINGS LLC (NPI# 1255321295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255321295 |
| Entity Type | Organization |
| Organization Name | KKP HOLDINGS LLC |
| Other Organization Name | SPECIALTY PHARMACY |
| Practice Address |
2104 Al Highway 157 Cullman AL 35058-0656 |
| Practice Telephone | 2567343146 |
| Practice Fax Number | 2567342179 |
| Mailing Telephone | 2567343146 |
| Mailing Fax Number | 2567342179 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | KIAH BROWN (OWNER) |
| Authorized Official Telephone | 2052690878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
111811 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2136204 | 01 |
| Other Name | Type Code |
|---|---|
| Specialty Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | KKP Holdings LLC | 1819 East Blvd, Charlotte, NC 28203 |
| Street Address |
2104 AL HIGHWAY 157 |
| City | CULLMAN |
| State | AL |
| Zip Code | 35058-0656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979995 | William Kiah Brown | Pharmacist | 2104 Al Highway 157, Cullman, AL 35058-0656 | 2020-10-09 |
| 1932621729 | Heather Anne Shiflett | Pharmacist | 2104 Al Highway 157, Cullman, AL 35058-0656 | 2017-07-12 |
| 1003134164 | Stephanie Brooke Matthews | Pharmacist | 2104 Al Highway 157, Cullman, AL 35058-0656 | 2010-05-12 |
| 1679563472 | Stephen Franklin Skinner | Pharmacist | 2104 Al Highway 157, Cullman, AL 35058-0656 | 2005-10-24 |
| 1790775716 | Calah Davis Merritt | Pharmacist | 2104 Al Highway 157, Cullman, AL 35058-0656 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659906980 | Paige Makenzie Schnittker | Nurse Practitioner | 1958 Al-157, Cullman, AL 35058 | 2020-03-06 |
| 1629617444 | Haven Counseling Services of Cullman, LLC | Community/Behavioral Health | 18291 Us Hwy 31, Cullman, AL 35058 | 2019-12-26 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669974135 | Cullman Regional Medical Center, Inc. | Clinic/Center | 1958 Al Hwy 157, Cullman, AL 35058 | 2018-03-01 |
| 1346683125 | Teri L Mobley | Nurse Practitioner | 2021 Alabama Hwy 157, Cullman, AL 35058 | 2013-04-11 |
| 1811229891 | Affordable Family Dentistry P.C. | Dentist | 1096 Country Road 1579, Cullmar, AL 35058 | 2010-02-02 |
| 1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
| 1235212390 | Carmen Duke Moss | Dentist | 18708 Us Hwy 31 N, Cullman, AL 35058 | 2006-10-23 |
| 1174624282 | Vincent Thomas Karolewics | Radiology | 1811 Parkway Cir, Cullman, AL 35058 | 2006-09-25 |
| 1205937315 | Cullman Radiation Therapy Services, P.C. | Radiology | 1811 Park Way Cir, Cullman, AL 35058 | 2006-09-25 |
| Find all providers in zip 35058 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154712685 | K L Arnold Enterprises Inc | Pharmacy | 1726 Cherokee Ave Sw Ste A, Cullman, AL 35055-5383 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
| 1598232654 | Starmark Partners Inc | Pharmacy | 165 Chestnut Dr Ste B, Madison, AL 35758-9525 | 2018-10-26 |
| 1922451020 | Covenant Specialty Therapeutics, Inc | Pharmacy | 1707 Hillyer Robinson Industrial Pkwy S, Suite B, Oxford, AL 36203-1373 | 2016-07-13 |
| 1801089875 | Hemophilia Infusion Managers LLC | Pharmacy | 3142 1st Ave, Loxley, AL 36551-4569 | 2007-08-23 |
| 1902931561 | Bishops Scant City Pharmacy & Gifts Inc | Pharmacy | 8095 Al Highway 69, Guntersville, AL 35976-7140 | 2007-02-23 |
| 1700938974 | Auburn University | Pharmacy | 2150 Walker Building, Auburn, AL 36849-5501 | 2007-01-17 |
| 1902961618 | Freeman Pharmacy, Inc. | Pharmacy | 209 W Mlk Hwy, Suite D, Tuskegee, AL 36083-2104 | 2006-12-22 |
| 1194810036 | Huntsville Compounding Pharmacy Inc | Pharmacy | 2121 Whitesburg Dr Se, Ste E, Huntsville, AL 35801-4501 | 2006-10-04 |
| 1003861121 | Milner Rushing Discount Drugs Inc | Pharmacy | 2602 Hough Rd, Florence, AL 35630-1747 | 2006-05-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.