Active NPI
KJK LLC
Doing business as Church Street Pharmacy
- Community/Retail Pharmacy
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5362
- Legal business name
- KJK LLC
- Doing business as
- Church Street Pharmacy
- Practice address
- 1913 Church St
Nashville, TN 37203-2203 - Phone
- (615) 610-2804
- Fax
- (615) 610-2853
- NPI assigned
- Mar 31, 2014
- Last updated
- Sep 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Konecny
- Title
- Cfo, Owner, Pharmd
- Phone
- (615) 446-8043
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 5362 | TN | Primary |
Addresses
Primary practice location
1913 Church St
Nashville, TN 37203-2203
Mailing address
1913 Church St
Nashville, TN 37203-2203
Phone (615) 610-2804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2145202 | Other | PK |
Other names 1
- Church Street Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Church Street Pharmacy
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1913 Church St
Nashville, TN 37203
Phone (615) 327-2123
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Dickson, TN
- NPI 1548709058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411948800000",
"number": "1003234758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 CHURCH ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032203",
"telephone_number": "615-610-2804",
"fax_number": "615-610-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 CHURCH ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032203",
"telephone_number": "615-610-2804",
"fax_number": "615-610-2853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KJK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-31",
"last_updated": "2014-09-29",
"status": "A",
"authorized_official_last_name": "KONECNY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CFO, OWNER, PHARMD",
"authorized_official_telephone_number": "615-446-8043"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "5362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2145202",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Church Street Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.