NPIMap

Organization Active NPI

Compounding Pharmacy of Kingston Inc

Doing business as Baggett Compounding Pharmacy

  • Compounding Pharmacy
  • Kingston, TN
National Provider Identifier
1700908001
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
3632 Issued in TN
Legal business name
COMPOUNDING PHARMACY OF KINGSTON INC
Doing business as
Baggett Compounding Pharmacy
Practice address
145 E Race St
Kingston, TN 37763-2824
Phone
(865) 376-6452
Fax
(865) 376-7729
NPI assigned
Apr 6, 2007
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Ronald Baggett, PHARMDNPI 1497789598
Title
Owner
Phone
(865) 376-6452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 3632 TN Primary

Addresses

Primary practice location

145 E Race St
Kingston, TN 37763-2824

Mailing address

145 E Race St
Kingston, TN 37763-2824
Phone (865) 376-6452

Other identifiers 1

IdentifierTypeStateIssuer
4435764OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • BAGGETT COMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

145 E Race St
Kingston, TN 37763
Phone (865) 376-6452

Practitioners & affiliated clinicians

Practitioners 1

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1700908001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632824",
            "telephone_number": "865-376-6452",
            "fax_number": "865-376-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632824",
            "telephone_number": "865-376-6452",
            "fax_number": "865-376-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDING PHARMACY OF KINGSTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "BAGGETT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-376-6452",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "3632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4435764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAGGETT COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.