Organization Active NPI

Kimsey Pharmacy LLC

Doing business as Kimsey Pharmacy

  • Community/Retail Pharmacy
  • Ducktown, TN
National Provider Identifier
1295757219
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
332 Issued in TN
Legal business name
KIMSEY PHARMACY LLC
Doing business as
Kimsey Pharmacy
Practice address
125 Five Points Road
Ducktown, TN 37326-0039
Phone
(423) 496-5831
Fax
(423) 496-7111
NPI assigned
Jul 25, 2006
Last updated
May 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Authorized official

Name
Christopher Patterson, PHARMDNPI 1104026087
Title
Owner
Phone
(423) 496-5241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 332 TN Primary

Addresses

Primary practice location

125 Five Points Road
Ducktown, TN 37326-0039

Mailing address

PO Box 39
Ducktown, TN 37326-0039
Phone (423) 496-5831

Other identifiers 2

IdentifierTypeStateIssuer
1452225MedicaidTN
4406054OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • KIMSEY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930082205 TN DME Supplier - Pharmacy 5294937660 Practice locations: Ducktown, TN
O20121019000684 TN Part B Supplier - Mass Immunization (Roster Biller Only) 5294937660 Practice locations: Ducktown, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kimsey Pharmacy LLC125 Five Points Dr, Ducktown, TN 37326(423) 496-5831 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 2006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1295757219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "DUCKTOWN",
            "state": "TN",
            "postal_code": "373260039",
            "telephone_number": "423-496-5831",
            "fax_number": "423-496-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FIVE POINTS ROAD",
            "city": "DUCKTOWN",
            "state": "TN",
            "postal_code": "373260039",
            "telephone_number": "423-496-5831",
            "fax_number": "423-496-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMSEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-496-5241",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452225",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4406054",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIMSEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ducktown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.