Kourtni Fandel, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

44380 Issued in TN

Practice address

5801 Western Ave
Knoxville, TN 37921-2208

Phone

(865) 584-0115

NPI assigned

Dec 23, 2020

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• K VA T Food Stores Inc

  • Community/Retail Pharmacy
  • Knoxville, TN
  • NPI 1508883968
  NPD (past)
• K VA T Food Stores Inc

  • Community/Retail Pharmacy
  • Huntsville, AL
  • NPI 1245038512
  NPD (past)

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1467049528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 ALDERGATE WAY APT 5102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379224426",
            "telephone_number": "865-898-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 WESTERN AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379212208",
            "telephone_number": "865-584-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANDEL",
        "first_name": "KOURTNI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "44380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medicine West PLLC
• Family Orthopedic Clinic PLLC
• Family Orthopedic Clinic, PLLC
• Familycare Specialists PC
• Alleah Leilani Fancher
• Sung-Un Kim Fang, R.PH
• Taylor Brynn Fann
• Matthew Fansler, PT, DPT
• Gia Faoro, BS
• Brittany N Farabollini, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.