Organization Active NPI

University of Tenn Athletic Dept. Pharmacy

  • Pharmacy
  • Knoxville, TN
National Provider Identifier
1801297791
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
318 Issued in TN
Legal business name
UNIVERSITY OF TENN ATHLETIC DEPT. PHARMACY
Practice address
1551 Lake Loudon Blvd
A107
Knoxville, TN 37916-4009
Phone
(865) 974-1231
Fax
(865) 974-1259
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Kerry Cholka, PHARMD
Title
Pharmacist in Charge
Phone
(865) 974-1231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 318 TN Primary

Addresses

Primary practice location

1551 Lake Loudon Blvd
A107
Knoxville, TN 37916-4009

Mailing address

1551 Lake Loudon Blvd
A107
Knoxville, TN 37916-4009
Phone (865) 974-1231

National Provider Directory

National Provider Directory
Tax ID family
Ut CT HLTH SC Fam Prac CT26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

1551 Lake Loudon Blvd
#A107
Knoxville, TN 37916
Phone (865) 974-1231

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1801297791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 LAKE LOUDON BLVD",
            "address_2": "A107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379164009",
            "telephone_number": "865-974-1231",
            "fax_number": "865-974-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 LAKE LOUDON BLVD",
            "address_2": "A107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379164009",
            "telephone_number": "865-974-1231",
            "fax_number": "865-974-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TENN ATHLETIC DEPT. PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "CHOLKA",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "865-974-1231",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "318",
            "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 Sep 10, 2014; 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.