Individual provider Active NPI

Taylor Renee Kirkland, PHARMD

  • Pharmacist
  • Madisonville, TN
National Provider Identifier
1073111241
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44306 Issued in TN
Practice address
4525 Highway 411
Madisonville, TN 37354-1536
Phone
(423) 442-6362
Fax
(423) 442-6539
NPI assigned
Oct 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH032296 GA
Pharmacist 183500000X 44306 TN Primary

Addresses

Primary practice location

4525 Highway 411
Madisonville, TN 37354-1536

Mailing address

4525 Highway 411
Madisonville, TN 37354-1536
Phone (423) 519-5589

Other practice location 1

2018 Western Ave
Knoxville, TN 37921-5718
Phone (865) 544-0406

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

LicenseStateTypeSpecialty
RPH032296GAMDPharmacist
44306TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP PastSince Oct 1, 2020 Accepting new patients
Wal-Mart Stores East LP PastSince Oct 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1073111241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 HIGHWAY 411",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541536",
            "telephone_number": "423-519-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 HIGHWAY 411",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541536",
            "telephone_number": "423-442-6362",
            "fax_number": "423-442-6539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379215718",
            "country_code": "US",
            "telephone_number": "865-544-0406",
            "fax_number": "865-544-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "TAYLOR",
        "middle_name": "RENEE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-11",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH032296",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "44306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.