Kcc, Inc. is a Community/retail Pharmacy in Meridian, Mississippi. Kcc, Inc. practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Kcc, Inc. is 1780619528. The last update date is 2022-05-02.
Kcc, Inc.'s current location address is 1501 23rd Avenue, Meridian, Mississippi. You can contact this provider via phone number 6014824003 and fax number 6014823948. The mailing address for Kcc, Inc. is 1501 23rd Avenue, Meridian, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kcc, Inc. |
|---|---|
| Address | 1501 23rd Avenue, Meridian, Mississippi |
| Phone Number | 6014824003 |
| Fax Number | 6014823948 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Gilchrist Brad |
| Telephone Number | 6014824003 |
NPI Number Detail
| NPI Number | 1780619528 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2022-05-02 |
Provider Mailing Address Detail
| Address | 1501 23rd Avenue |
|---|---|
| City | Meridian |
| State | Mississippi (MS) |
| Post Code | 393014586 |
| Phone Number | 6014824003 |
| Fax Number | 6014823948 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 111985 |
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Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57068 | AL | -- | |
| 100002498 | AL | -- | |
| 515-02164 | AL | BCBS - DME | |
| 870001313 | MS | MEDICARE LOCAL PART B | |
| 404202 | MS | -- | |
| 104747300 | OWCP | ||
| 510-43792 | AL | BCBS | |
| P00105652 | MS | MEDICARE RR | |
| 330015 | MS | -- | |
| 01-25941 | NCPDP |
Post Comment/ Review Below
What is the unique identifier code issued to Kcc, Inc. by the Centers for Medicare & Medicaid Services?
The Kcc, Inc. has been assigned the NPI (National Provider Identifier) 1780619528. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kcc, Inc. is located?
The Kcc, Inc. is situated at the following address: 1501 23Rd Avenue, Meridian, MS, 393014586.
What is Kcc, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kcc, Inc. is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780619528 to Kcc, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1780619528 to Kcc, Inc. on 2006-07-11.
As of what date were the details related to Kcc, Inc. most recently updated or revised?
The information pertaining to Kcc, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2022-05-02.