Active NPI
Kylie Morgan Goforth
- Pharmacist
- Knoxville, TN
National Provider Identifier
1023621372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48338
- Practice address
- 4325 Asheville Hwy
Knoxville, TN 37914-3602 - Phone
- (865) 524-3326
- NPI assigned
- Aug 26, 2020
- Sex
- Female
- 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 | 48338 | TN | Primary |
Addresses
Primary practice location
4325 Asheville Hwy
Knoxville, TN 37914-3602
Mailing address
1112 Amber Vista LN
Knoxville, TN 37914-1200
Phone (865) 409-7384
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48338 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1023621372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 AMBER VISTA LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379141200",
"telephone_number": "865-409-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 ASHEVILLE HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379143602",
"telephone_number": "865-524-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFORTH",
"first_name": "KYLIE",
"middle_name": "MORGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "48338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.