Kingwood Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KINGWOOD PHARMACY

Practice address

3824 Ringgold Rd
Chattanooga, TN 37412

Phone

(423) 624-1434

Fax

(423) 629-9646

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Barbara J Miller

Title

Medical Equipment Admin

Phone

(423) 629-1434

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kingwood Medical Equip Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roy Allen Phipps, RPH

  • Pharmacist
  • Chattanooga, TN
  • NPI 1558610618
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730305673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 RINGGOLD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37412",
            "telephone_number": "423-624-1434",
            "fax_number": "423-629-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 RINGGOLD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37412",
            "telephone_number": "423-624-1434",
            "fax_number": "423-629-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL EQUIPMENT ADMIN",
        "authorized_official_telephone_number": "423-629-1434"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00025145",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3513189",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingwood Medical Equip",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forrest A. King, FNP
• Janet King, LMFT
• Megan Noel King
• Manda Lea Kingsley, LMSW
• Kilton D Kingsman, M.D.
• Kingwood Pharmacy Inc
• Ivy Kinkade, SLP-CCC
• Deloris A Kinnaird, M.A.
• Claire Kinney
• Christy Kinsey

• All providers in Chattanooga, TN
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.