Adero Kaia Stallworth, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0000041804 Issued in TN

Practice address

6520 Memphis Arlington Rd
Bartlett, TN 38135-2402

Phone

(901) 388-4331

NPI assigned

Nov 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  dba Wal-Mart Pharmacy 10-3599

  • Community/Retail Pharmacy
  • Bartlett, TN
  • NPI 1528085727
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1326640863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LONE OAK DR",
            "city": "EADS",
            "state": "TN",
            "postal_code": "380283361",
            "telephone_number": "901-494-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 MEMPHIS ARLINGTON RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381352402",
            "telephone_number": "901-388-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "ADERO",
        "middle_name": "KAIA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000041804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. John's Community Services
• Jennifer Stachowski
• John P Stacks Jr., D.C.
• Jana Stader, PHARMD
• Staffco of Tennessee, LLC. (At Home Healthcare of West Tennessee)
• Doretha Staples, RKT
• Starlight Home Care LLC
• Mary Elizabeth Statum, LPC-MHSP
• Wendi Stec
• Mary B. Steckline, COTA

• Pharmacist in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.