Organization Active NPI

R & K Pharmacy Inc.

Doing business as Tallent Drug Company

  • Community/Retail Pharmacy
  • Copperhill, TN
National Provider Identifier
1457457533
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
R & K PHARMACY INC.
Doing business as
Tallent Drug Company
Practice address
116 West Ocoee Street
Copperhill, TN 37317-0370
Phone
(423) 496-5241
NPI assigned
Sep 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Chad SmithNPI 1811187115
Title
Pharmacist/ Pharmacy Manager
Phone
(423) 496-5241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9457 TN
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

116 West Ocoee Street
Copperhill, TN 37317-0370

Mailing address

PO Box 370
Copperhill, TN 37317-0370

Other identifiers 7

IdentifierTypeStateIssuer
3914368OtherTNFLUTN
1452919MedicaidTN
3914368OtherNCFLUNC
4405696OtherTNNABP/NCPD
0445270MedicaidNC
3914368OtherGAFLUGA
000036913AMedicaidGA

Other names 1

  • Tallent Drug Company Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051221000567 TN Part B Supplier - Mass Immunization (Roster Biller Only) 3678595428 Practice locations: Copperhill, TN
O20100930070201 TN DME Supplier - Pharmacy 3678595428 Practice locations: Copperhill, TN

National Provider Directory

National Provider Directory
Tax ID family
R K Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1457457533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373170370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WEST OCOEE STREET",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373170370",
            "telephone_number": "423-496-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & K PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-03-07",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PHARMACIST/ PHARMACY MANAGER",
        "authorized_official_telephone_number": "423-496-5241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "9457",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLUTN",
            "identifier": "3914368",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452919",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLUNC",
            "identifier": "3914368",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP/NCPD",
            "identifier": "4405696",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445270",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLUGA",
            "identifier": "3914368",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000036913A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallent Drug Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tallent Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Copperhill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.