Kelly Joe Vankirk, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0000022407 Issued in TN

Practice address

140 Church St
Sneedville, TN 37869

Phone

(423) 733-2322

Fax

(423) 733-2140

NPI assigned

Dec 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smith-Turner Drug Store, Inc

  dba Smith-Turner Drug Store

  • Community/Retail Pharmacy
  • Sneedville, TN
  • NPI 1790796340
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639230881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 KAY DR",
            "city": "RUSSELLVILLE",
            "state": "TN",
            "postal_code": "378608903",
            "telephone_number": "205-821-3000",
            "fax_number": "423-733-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CHURCH ST",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "37869",
            "telephone_number": "423-733-2322",
            "fax_number": "423-733-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKIRK",
        "first_name": "KELLY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000022407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "1790796340",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9448755",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Nicole Sutton, REGISTERED NURSE
• Flora Taylor
• Clarence Ronald Trent, RPH
• Lisa Ann Trent, FNP
• Value RX Sneedville LLC (Value Rx)
• Walgreen Co (Walgreens #17991)
• Wellmont Health System (Hancock County Hospital)
• Wellmont Health System (Hancock County Hospital Swing Bed Unit)
• Wellmont Health System (Bhrhc Hancock)
• Sharon D Wilder, FNP

• Pharmacist in Sneedville, TN
• Providers in Sneedville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.