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
- Last updated
- Apr 27, 2023
- 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, 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": "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
- Mountain States Health Alliance (Johnson County Home Health)
- Mountain States Health Alliance (Johnson County Community Hospital)
- Mountain States Health Alliance (Bhrhc Mtncity)
- Mountain Youth Academy
- Heather Newman, MD
- Northeast Tennessee Health and Home Care PLLC
- Crystal Marie Olinger, BSW
- Paula Kae Oliver, MASSAGE THERAPIST
- Overhome Medical Care PC
- Ben Deal Parrish, O.D.
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.