Active NPI
Taylor Renee Kirkland, PHARMD
- Pharmacist
- Madisonville, TN
National Provider Identifier
1073111241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44306
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH032296 | GA | MD | Pharmacist |
| 44306 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Chattanooga, TN
- NPI 1780057240
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
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.