Individual provider Active NPI

Karen L Skinner, R.PH.

  • Pharmacist
  • Knoxville, TN
National Provider Identifier
1700926656
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
C-5838 Issued in TN
Practice address
431 Park Village Rd Ste 105
Knoxville, TN 37923-3806
Phone
(865) 730-4200
Fax
(865) 730-4201
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13524 SC
Pharmacist 183500000X RPH027059 GA
Pharmacist 183500000X C-5838 TN Primary

Addresses

Primary practice location

431 Park Village Rd Ste 105
Knoxville, TN 37923-3806

Mailing address

431 Park Village Rd Ste 105
Knoxville, TN 37923-3806
Phone (865) 556-3080

Other practice location 1

1006 Fording Island Rd
CVS #4489
Bluffton, SC 29910-4869
Phone (843) 815-2801

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH027059GAMDPharmacist
13524SCMDPharmacist
C-5838TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina CVS Pharmacy LLC Past Accepting new patients
Guardian Pharmacy of Knoxville LLC PastSince Jul 24, 2022 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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700926656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 PARK VILLAGE RD STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233806",
            "telephone_number": "865-556-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PARK VILLAGE RD STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233806",
            "telephone_number": "865-730-4200",
            "fax_number": "865-730-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Fording Island Rd",
            "address_2": "CVS #4489",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104869",
            "country_code": "US",
            "telephone_number": "843-815-2801",
            "fax_number": "843-815-7397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13524",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027059",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "C-5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

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.