Active NPI
Kenneth Ray Norfleet, RPH
- Pharmacist
- Mountain City, TN
National Provider Identifier
1154433738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000004407
- Practice address
- 1641 S. Shady Street
Mountain City, TN 37683 - Phone
- (423) 727-0038
- Fax
- (423) 727-0039
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- 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 | PS11435 | FL | |
| Pharmacist | 183500000X | 0000004407 | TN | Primary |
Addresses
Primary practice location
1641 S. Shady Street
Mountain City, TN 37683
Mailing address
Post Office Box 54
Mountain City, TN 37683
Phone (423) 388-9171
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS11435 | FL | MD | Pharmacist |
| 0000004407 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Drugs, Inc. | 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.
-
- Pharmacy
- Brooksville, FL
- NPI 1215921796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1154433738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POST OFFICE BOX 54",
"city": "MOUNTAIN CITY",
"state": "TN",
"postal_code": "37683",
"telephone_number": "423-388-9171",
"fax_number": "352-796-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 S. SHADY STREET",
"city": "MOUNTAIN CITY",
"state": "TN",
"postal_code": "37683",
"telephone_number": "423-727-0038",
"fax_number": "423-727-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORFLEET",
"first_name": "KENNETH",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS11435",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000004407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.