Individual provider Active NPI

Lindsey Daugherty Kirn, PHARMD

  • Pharmacist
  • Blue Ridge, GA
National Provider Identifier
1639686561
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH023902 Issued in GA
Practice address
5679 Appalachian Hwy
Blue Ridge, GA 30513-4202
Phone
(706) 632-3654
Fax
(706) 632-3968
NPI assigned
Dec 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH023902 GA Primary

Addresses

Primary practice location

5679 Appalachian Hwy
Blue Ridge, GA 30513-4202

Mailing address

39 Bluff Mountain Dr SW
Rome, GA 30165-4156
Phone (706) 461-3297

Other practice location 1

39 Bluff Mountain Dr SW
Rome, GA 30165-4156
Phone (706) 461-3297

Other practice location 2

6 Mathis Dr NW
Rome, GA 30165-1242
Phone (706) 237-6306

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH023902GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingles Markets Inc Past Accepting new patients
Ingles Markets Inc Past Accepting new patients

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": "1514678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639686561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BLUFF MOUNTAIN DR SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654156",
            "telephone_number": "706-461-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5679 APPALACHIAN HWY",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134202",
            "telephone_number": "706-632-3654",
            "fax_number": "706-632-3968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Bluff Mountain Dr SW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301654156",
            "country_code": "US",
            "telephone_number": "706-461-3297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Mathis Dr NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301651242",
            "country_code": "US",
            "telephone_number": "706-237-6306",
            "fax_number": "706-622-2135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRN",
        "first_name": "LINDSEY",
        "middle_name": "DAUGHERTY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.