Kim Halcomb, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

C006969 Issued in TN

Practice address

501 Adesa Blvd
Suite A150
Lenoir City, TN 37771

Phone

(865) 986-4530

Fax

(865) 986-4909

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1598834947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 VERONA LN",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495339",
            "telephone_number": "865-363-3400",
            "fax_number": "865-986-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ADESA BLVD",
            "address_2": "SUITE A150",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37771",
            "telephone_number": "865-986-4530",
            "fax_number": "865-986-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALCOMB",
        "first_name": "KIM",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "C006969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "C006969",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kim.bohanan@cherokeehealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "501 Adesa Blvd",
            "address_2": "Suite A150",
            "city": "Lenoir City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Misty Beth Griffitts
• Kevin D. Gross, DDS
• Paul Dwayne Gross, DDS
• Ana Cristina Guzman, CNA
• Jan Theodore Hahn, MD
• Melissa Halcomb, RMA
• Meredith Danielle Hale, MD
• Bethany Abb Hall, OTR/L
• Lillie Halsey
• Renee Marie Hamilton, MSN, FNP-BC

• Pharmacist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.