Active NPI
Kimsey Pharmacy LLC
Doing business as Kimsey Pharmacy
- Community/Retail Pharmacy
- Ducktown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 332
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Patterson, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452225 | Medicaid | TN | |
| 4406054 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- KIMSEY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kimsey Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Copperhill, TN
- NPI 1104026087
-
- Pharmacist
- Ducktown, TN
- NPI 1659549665
-
- Pharmacist
- Ducktown, TN
- NPI 1578848073
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.