Colonial Heights Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

COLONIAL HEIGHTS PHARMACY, INC.

Doing business as

Colonial Heights Pharmacy

Practice address

4221 Ft. Henry Drive
Kingsport, TN 37663

Phone

(423) 239-9191

Fax

(423) 239-0382

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Martha M Dunn, PHARM D

Title

Pharmacist / Pic

Phone

(423) 239-9191

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Colonial Heights Pharmacy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1619003399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 FT. HENRY DRIVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37663",
            "telephone_number": "423-239-9191",
            "fax_number": "423-239-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 FT. HENRY DRIVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37663",
            "telephone_number": "423-239-9191",
            "fax_number": "423-239-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL HEIGHTS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST / PIC",
        "authorized_official_telephone_number": "423-239-9191",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452937",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Heights Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Ruth Collins, PA
• John R Collins, DDS
• Misty Joan Collins
• Randi Leahann Collins, PHARMD
• Colonial Heights Dental Assocaites
• Colonial Heights Physical Therapy Inc
• Landon A Colquitt IV, M.D.
• Alice Cardin Colson, DPH
• Sara Combs-Robert
• Kimberly Danielle Combs, MS, CCC-A

• Pharmacy in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.