Active NPI
Kathleen M Riley, PHARM D
- Pharmacotherapy Pharmacist
- Knoxville, TN
National Provider Identifier
1740498088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 22508
- Practice address
- K-Mart Pharmacy #7460
6906 Manardville Pike NE
Knoxville, TN 37918 - Phone
- (865) 922-7443
- Fax
- (865) 922-1604
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 22508 | TN | Primary |
Addresses
Primary practice location
K-Mart Pharmacy #7460
6906 Manardville Pike NE
Knoxville, TN 37918
Mailing address
3800 Oak Valley Dr
Apt#125
Knoxville, TN 37918-5176
Phone (570) 313-9965
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22508 | TN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740498088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 OAK VALLEY DR",
"address_2": "APT#125",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379185176",
"telephone_number": "570-313-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "K-MART PHARMACY #7460",
"address_2": "6906 MANARDVILLE PIKE NE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37918",
"telephone_number": "865-922-7443",
"fax_number": "865-922-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TN",
"license": "22508",
"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 8, 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.