NPIMap

Organization Active NPI

Kizer Pharmacy LLC

Doing business as Kizer Pharmacy Long-Term Care

  • Long Term Care Pharmacy
  • Union City, TN
National Provider Identifier
1619721032
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KIZER PHARMACY LLC
Doing business as
Kizer Pharmacy Long-Term Care
Practice address
1117 S Miles Ave Ste 1
Union City, TN 38261-5439
Phone
(731) 885-2226
Fax
(731) 885-2291
NPI assigned
Apr 12, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Jason Smith Kizer, PHARM.DNPI 1174857064
Title
Owner/President
Phone
(731) 885-2226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

1117 S Miles Ave Ste 1
Union City, TN 38261-5439

Mailing address

1117 S Miles Ave Ste 1
Union City, TN 38261-5439
Phone (731) 885-2226

Other names 1

  • Kizer Pharmacy Long-Term Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kizer Pharmacy1117 S Miles Ave, Union City, TN 38261-5439(731) 885-2226 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Kizer Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1619721032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S MILES AVE STE 1",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615439",
            "telephone_number": "731-885-2226",
            "fax_number": "731-885-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S MILES AVE STE 1",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615439",
            "telephone_number": "731-885-2226",
            "fax_number": "731-885-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIZER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "KIZER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "731-885-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kizer Pharmacy Long-Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.