Individual provider Active NPI

Patricia Kaye

  • Pharmacist
  • Jasper, TN
National Provider Identifier
1073102158
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41118 Issued in TN
Practice address
17 Courthouse SQ
Jasper, TN 37347-3531
Phone
(423) 942-5636
NPI assigned
Jan 13, 2021
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41118 TN Primary

Addresses

Primary practice location

17 Courthouse SQ
Jasper, TN 37347-3531

Mailing address

4062 Hixson Pike
Chattanooga, TN 37415-3110

Other practice location 1

104 Cates St
Dunlap, TN 37327-6093
Phone (423) 949-5722

Other practice location 2

4062 Hixson Pike
Chattanooga, TN 37415-3110
Phone (423) 877-3568

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

LicenseStateTypeSpecialty
41118TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper Drugs LLC PastSince Jan 17, 2021 Accepting new patients
Cates Street Pharmacy LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1073102158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 COURTHOUSE SQ",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473531",
            "telephone_number": "423-942-5636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Cates St",
            "address_purpose": "LOCATION",
            "city": "Dunlap",
            "state": "TN",
            "postal_code": "373276093",
            "country_code": "US",
            "telephone_number": "423-949-5722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4062 Hixson Pike",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374153110",
            "country_code": "US",
            "telephone_number": "423-877-3568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAYE",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "41118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.