KINGMAN HEALTHCARE, INC (NPI# 1992286298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992286298 |
| Entity Type | Organization |
| Organization Name | KINGMAN HEALTHCARE, INC |
| Other Organization Name | KINGMAN HOSPITAL, INC |
| Practice Address |
1739 E Beverly Ave Ste 106 Kingman AZ 86409-3593 |
| Mailing Address |
3269 N Stockton Hill Rd Kingman AZ 86409-3619 |
| Practice Telephone | 9286818778 |
| Practice Fax Number | 9286818779 |
| Mailing Telephone | 9287572101 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | MR. TIM BLANCHARD (CFO) |
| Authorized Official Telephone | 9286818668 |
| Is Organization Subpart | Y |
| Parent Organization Name | KINGMAN HEALTHCARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Y007642 | AZ | Suppliers |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Y007642 | AZ | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y007642 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Kingman Hospital, Inc | Former Legal Business Name - Organization |
| KRMC Community Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760703805 | Kingman Healthcare, Inc | Clinic/Center | 1726 E Beverly Ave Ste A, Kingman, AZ 86409-3500 | 2010-06-11 |
| 1174701478 | Kingman Healthcare, Inc | Home Health | 2202 N Stockton Hill Rd Ste 200, Kingman, AZ 86401-4622 | 2008-02-08 |
| 1538347836 | Kingman Healthcare, Inc | Hospice Care, Community Based | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2008-02-08 |
| 1184802480 | Kingman Healthcare, Inc | General Acute Care Hospital | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 | 2008-02-08 |
| 1689897787 | Kingman Healthcare, Inc | Family Medicine | 1739 Beverly Avenue, Suite 200, Kingman, AZ 86409-3593 | 2007-04-10 |
| 1265423917 | Kingman Healthcare, Inc | Home Health | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2005-11-02 |
| Street Address |
1739 E BEVERLY AVE STE 106 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| 1386702546 | Arizona Desert Dermatology and Surgery PC | Dermatology | 1700 Sycamore Avenue, Kingman, AZ 86409 | 2006-12-04 |
| Find all providers in zip 86409 | ||||
| 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 |
|---|---|---|---|---|
| 1912918590 | Kingman Hometown Pharmacy LLC | Pharmacy | 2370 Northern Ave Ste A, Kingman, AZ 86409-2573 | 2006-08-10 |
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|---|---|---|---|---|
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| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1356961726 | Truechoice Pharmacy, LLC | Pharmacy | 2410 Highway 95, Bullhead City, AZ 86442-7305 | 2020-04-25 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1134757503 | Adhererx Incorporated | Pharmacy | 1343 N Colorado St Ste 109, Gilbert, AZ 85233-1618 | 2020-03-31 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1508417189 | Call's Community Pharmacy LLC | Pharmacy | 985 S Main St, Snowflake, AZ 85937-5501 | 2019-09-24 |
| 1609429240 | Medavail Pharmacy Inc. | Pharmacy | 5555 E 5th St # 101, Tucson, AZ 85711-2415 | 2019-07-23 |
| 1417513904 | N & R Bryce Enterprises LLC | Pharmacy | 2841 Highway 260 Suite 2, Overgaard, AZ 85933 | 2019-05-10 |
| 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.