KCL INCORPORATED (NPI# 1326210345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326210345 |
| Entity Type | Organization |
| Organization Name | KCL INCORPORATED |
| Other Organization Name | LANDRYS PHARMACY |
| Practice Address |
25 Woodbridge Rd Ste B Ste B Somerville TN 38068-1242 |
| Mailing Address |
25 Woodbridge Rd Ste B Somerville TN 38068-1242 |
| Practice Telephone | 9014661127 |
| Practice Fax Number | 9014661126 |
| Mailing Telephone | 9014661127 |
| Mailing Fax Number | 9014661126 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | DR. CYNTHIA LOU LANDRY (OWNER) |
| Authorized Official Telephone | 9014661127 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4494 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2095356 | 01 |
| Other Name | Type Code |
|---|---|
| LANDRYS PHARMACY | Doing Business As Name - Organization |
| Street Address |
25 WOODBRIDGE RD STE B STE B |
| City | SOMERVILLE |
| State | TN |
| Zip Code | 38068-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063850477 | Paula Lenore Walker | Nurse Practitioner | 25 Woodbridge, Suite A, Somerville, TN 38068 | 2013-06-07 |
| 1902026107 | Alliance Health Services, Inc | Home Health | 201 Lakeview Dr, Suite B, Somerville, TN 38068 | 2007-04-27 |
| 1730239997 | State of Tennessee | Public Health or Welfare | 90 Yum Yum Road, Somerville, TN 38068 | 2007-01-11 |
| 1366514697 | Cynthia D Elder | Pharmacy Technician | 13092 North Main Street, Summerville, TN 38068 | 2006-11-14 |
| 1275612053 | Bessie M Hoskins | Pharmacy Technician | 13092 North Main, Somerville, TN 38068 | 2006-11-03 |
| 1245319797 | Deborah Louise Davis | Pharmacy Technician | 8885 La Grange Rd, Somerville, TN 38068 | 2006-11-03 |
| 1891876868 | John David Cima | Dentist | 13190 N. Main St, Somerville, TN 38068 | 2006-10-18 |
| 1750478277 | Marie Middlecoff Stevens | Pharmacist | 13092 N Main Street, Super Drugs, Somerville, TN 38068 | 2006-10-06 |
| 1588675276 | Wilder Clinic | Family Medicine | 201 Lake View, Ste A Wilder Clinic, Sunerville, TN 38068 | 2006-08-10 |
| 1588687644 | Freds Stores of Tennessee Inc | Pharmacy | Highway 64 West, Somerville, TN 38068 | 2006-07-26 |
| Find all providers in zip 38068 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1598237406 | Kcl Inc | Pharmacy | 17392 Us Highway 64, Somerville, TN 38068-6160 | 2018-12-18 |
| 1073038352 | Walgreen Co | Pharmacy | 14 Mcgrath Hwy Ste 3, Somerville, MA 02143-4509 | 2017-08-08 |
| 1811283377 | Saker Shoprites Inc | Pharmacy | 1 Davenport St, Somerville, NJ 08876-2101 | 2011-06-23 |
| 1396801007 | Professional Care Services of West Tn Inc | Pharmacy | 12615 S Main, Somerville, TN 38068-1673 | 2006-12-28 |
| 1710086178 | Cvs Pharmacy Inc | Pharmacy | 532 Medford St, Somerville, MA 02145-2657 | 2006-09-22 |
| 1093812851 | Pathmark Stores Inc | Pharmacy | 100 Veterans Memorial Dr W, Somerville, NJ 08876-2934 | 2006-09-20 |
| 1609881804 | Walgreen Eastern Co Inc | Pharmacy | 16 Beacon St, Somerville, MA 02143-4311 | 2006-07-29 |
| 1568824415 | Walgreen Co. | Pharmacy | 110 Rehill Ave, Ste 8l002, Somerville, NJ 08876 | 2016-03-21 |
| 1043609266 | Fred's Stores of Tennessee Inc | Pharmacy | 13092 N Main St, Somerville, TN 38068-1421 | 2015-01-12 |
| 1417058439 | Marg Pharmacy Inc | Pharmacy | 40 West Main Street, Somerville, NJ 08876 | 2006-09-25 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 38068 |
Please comment or provide details below to improve the information on KCL INCORPORATED.
| 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.