Active NPI
Randi Leahann Collins, PHARMD
- Pharmacist
- Kingsport, TN
National Provider Identifier
1508145939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000038143
- Practice address
- 128 W Stone Dr
Kingsport, TN 37660-3221 - Phone
- (423) 247-4171
- NPI assigned
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202211193 | VA | |
| Pharmacist | 183500000X | 015574 | KY | |
| Pharmacist | 183500000X | 0000038143 | TN | Primary |
Addresses
Primary practice location
128 W Stone Dr
Kingsport, TN 37660-3221
Mailing address
128 W Stone Dr
Kingsport, TN 37660-3221
Phone (423) 247-4171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015574 | KY | MD | Pharmacist |
| 0000038143 | TN | MD | Pharmacist |
| 0202211193 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1508145939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 W STONE DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603221",
"telephone_number": "423-247-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 W STONE DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603221",
"telephone_number": "423-247-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "RANDI",
"middle_name": "LEAHANN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202211193",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015574",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000038143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.