Kingwood Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

277 Issued in TN

Legal business name

KINGWOOD PHARMACY INC

Doing business as

Kingwood Pharmacy

Practice address

3824 Ringgold Rd
Chattanooga, TN 37412-1640

Phone

(423) 629-1434

Fax

(423) 629-9646

NPI assigned

Sep 12, 2006

Last updated

Apr 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Musick

Title

President

Phone

(423) 629-1434

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• KINGWOOD PHARMACY Doing business as

Practitioners 1

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.

• Roy Allen Phipps, RPH

  • Pharmacist
  • Chattanooga, TN
  • NPI 1558610618
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1477657435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 RINGGOLD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374121640",
            "telephone_number": "423-629-1434",
            "fax_number": "423-629-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 RINGGOLD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374121640",
            "telephone_number": "423-629-1434",
            "fax_number": "423-629-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "MUSICK",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-629-1434"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3513189",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095233",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet King, LMFT
• Megan Noel King
• Manda Lea Kingsley, LMSW
• Kilton D Kingsman, M.D.
• Kingwood Pharmacy (Kingwood Medical Equip)
• Ivy Kinkade, SLP-CCC
• Deloris A Kinnaird, M.A.
• Claire Kinney
• Christy Kinsey
• Macy Kint, RPH, PHARMD, BCACP

• Community/Retail Pharmacy in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.