Organization Active NPI

Claiborne County Hospital Pharmacy

  • Long Term Care Pharmacy
  • Tazewell, TN
National Provider Identifier
1477698587
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CLAIBORNE COUNTY HOSPITAL PHARMACY
Practice address
1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone
(423) 526-2224
NPI assigned
Feb 20, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Kathy Payne Kelley, PHARMD
Title
Director of Pharmacy
Phone
(423) 526-2224

Corporate family (same tax ID) 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Claiborne County Hospital (2 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 1357 TN
Long Term Care Pharmacy 3336L0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

1850 Old Knoxville Rd
Tazewell, TN 37879-3625

Mailing address

1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone (423) 526-2224

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
3736122OtherTXMEDICARE PTAN/MEDICARE B
4415902OtherTNNABP

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2020.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1477698587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 OLD KNOXVILLE RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793625",
            "telephone_number": "423-526-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 OLD KNOXVILLE RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793625",
            "telephone_number": "423-526-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE COUNTY HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "PAYNE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "423-526-2224",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TN",
            "license": "1357",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN/MEDICARE B",
            "identifier": "3736122",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4415902",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.