Individual provider Active NPI

Kristy Sutton, R.PH.

  • Pharmacist
  • Cookeville, TN
National Provider Identifier
1588092860
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7972 Issued in SC
Practice address
841 E 10TH St
Cookeville, TN 38501-1903
Phone
(931) 400-0841
Fax
(931) 400-0842
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7972 SC Primary
Pharmacist 183500000X 44625 TN

Addresses

Primary practice location

841 E 10TH St
Cookeville, TN 38501-1903

Mailing address

841 E 10TH St
Cookeville, TN 38501-1903
Phone (931) 400-0841

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
7972SCMDPharmacist
44625TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville RX Inc. CurrentSince Oct 20, 2024 Accepting new patients
Cookeville RX Inc. CurrentSince Aug 28, 2022 Accepting new patients

Locations

841 E 10th St
Cookeville, TN 38501
Phone (931) 400-0841

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1588092860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011903",
            "telephone_number": "931-400-0841",
            "fax_number": "931-400-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011903",
            "telephone_number": "931-400-0841",
            "fax_number": "931-400-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "KRISTY",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "7972",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "44625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.