Active NPI
Troy Alan Kirkendol, PHARM.D.
- Pharmacist
- Jackson, TN
National Provider Identifier
1003029182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- #29416
- Practice address
- 93 Stonebrook Place
Jackson, TN 38305 - Phone
- (731) 660-2845
- Fax
- (731) 660-2845
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | #29416 | TN | Primary |
Addresses
Primary practice location
93 Stonebrook Place
Jackson, TN 38305
Mailing address
93 Stonebrook Place
Apt # B
Jackson, TN 38305
Phone (731) 660-2845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #29416 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1003029182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 STONEBROOK PLACE",
"address_2": "APT # B",
"city": "JACKSON",
"state": "TN",
"postal_code": "38305",
"telephone_number": "731-660-2845",
"fax_number": "731-660-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 STONEBROOK PLACE",
"city": "JACKSON",
"state": "TN",
"postal_code": "38305",
"telephone_number": "731-660-2845",
"fax_number": "731-660-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKENDOL",
"first_name": "TROY",
"middle_name": "ALAN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "#29416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.