MEDICARE: KENLY DRUG & PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	08155	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2069411	OTHER		PK

General Provider Information

NPI Number	:	1801829221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENLY DRUG & PHARMACY INC

Provider Business Mailing Address
First Line	:	PO BOX 147
Second Line	:
City	:	KENLY
State	:	NC
Zip	:	27542-0147
Country	:	US
Telephone Number	:	919-284-2333
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 E 2ND ST
Second Line	:
City	:	KENLY
State	:	NC
Zip	:	27542-7791
Country	:	US
Telephone Number	:	919-284-2333
Fax Number	:	919-284-2717

Authorized Official
Title or Position	:	OWNER
Name	:	ROBIN DAVIS
Credential	:	RPH
Telephone Number	:	919-284-2333

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	05/18/2017

Similar Medicare Providers

1003603572 — NEW HOPE WELLNESS CENTER PLLC
Practice Location Address:

104 E 2ND ST
KENLY, NC
27542-7791

Practice Phone: 919-342-7666
Practice Fax:

1346191483 — ANCHORPOINT PEER SUPPORT SERVICES AGENCY
Practice Location Address:

14065 NC HIGHWAY 42 E
KENLY, NC
27542-8231

Practice Phone: 862-298-8667
Practice Fax:

1548222755 — REBECCA M LANCASTER P.A.
Practice Location Address:

101 E 2ND STREET
KENLY, NC
27542

Practice Phone: 919-284-4025
Practice Fax: 919-284-5965

1336189760 — JOHNSTON MEMORIAL HOSPITAL AUTHORITY
Practice Location Address:

400 N ENGLEWOOD DR
KENLY, NC
27542-9290

Practice Phone: 919-284-4149
Practice Fax: 919-284-6008

1235179128 — HAL B WOODALL MD
Practice Location Address:

101 E 2ND ST
KENLY, NC
27542-7794

Practice Phone: 919-284-4025
Practice Fax: 919-284-5965

1295745099 — JOHNSTON MEMORIAL HOSPITAL
Practice Location Address:

400 N ENGLEWOOD DR
KENLY, NC
27542-9290

Practice Phone: 919-284-4149
Practice Fax: 919-284-6008

Directions to “KENLY DRUG & PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.