Active NPI
Chasity L Kilgore, CPHT
- Pharmacy Technician
- Gray, TN
National Provider Identifier
1083796445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 270100103111766
- Practice address
- 208 Suncrest St
Suite1
Gray, TN 37615-3494 - Phone
- (423) 384-7720
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 270100103111766 | TN | Primary |
Addresses
Primary practice location
208 Suncrest St
Suite1
Gray, TN 37615-3494
Mailing address
3304 Grimes Circle
Kingsport, TN 37663
Phone (423) 384-7720
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 |
|---|---|---|---|
| 270100103111766 | TN | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tritenn LLC | 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, 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": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083796445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 GRIMES CIRCLE",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37663",
"telephone_number": "423-384-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 SUNCREST ST",
"address_2": "SUITE1",
"city": "GRAY",
"state": "TN",
"postal_code": "376153494",
"telephone_number": "423-384-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "CHASITY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TN",
"license": "270100103111766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gray, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.