Greenfield Pharms, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

492 Issued in TN

Legal business name

GREENFIELD PHARMS, LLC

Doing business as

Kenton Drug Company

Practice address

116 E College St
Kenton, TN 38233-1336

Phone

(731) 749-5951

Fax

(731) 749-5135

NPI assigned

Dec 27, 2006

Last updated

Nov 2, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

GREENFIELD PHARMS LLCAs reported in NPPES

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

Authorized official

Name

Derek Holyfield, PHARM. DNPI 1225011455

Title

Ceo

Phone

(731) 618-1787

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Kenton Drug Company Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Kenton Drug Company2 organizations share this tax ID, including this one

Part of

Kenton Drug Company

Other organizations with this tax ID 1

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

• Greenfield Pharms, LLC

  dba Duncan's Pharmacy of Greenfield

  • Community/Retail Pharmacy
  • Greenfield, TN
  • NPI 1891387551
  NPD tax ID

Locations

Practitioners 3

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.

• Derek Holyfield, PHARM. D

  • Pharmacist
  • Dyer, TN
  • NPI 1225011455
  NPD (past) Authorized official
• Cara Marvin, D.PH.

  • Pharmacist
  • Kenton, TN
  • NPI 1518917194
  NPD (past)
• James C Turner, DPH

  • Pharmacist
  • Kenton, TN
  • NPI 1831149301
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1831254994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E COLLEGE",
            "city": "KENTON",
            "state": "TN",
            "postal_code": "38233",
            "telephone_number": "731-749-5951",
            "fax_number": "731-749-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E COLLEGE ST",
            "city": "KENTON",
            "state": "TN",
            "postal_code": "382331336",
            "telephone_number": "731-749-5951",
            "fax_number": "731-749-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD PHARMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENFIELD PHARMS LLC",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "HOLYFIELD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-618-1787",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q035672",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenton Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A&G Miracle Home Care LLC
• Douglas Michael Farrar, D.D.S.
• Interventional Diabetes Center LLC 4
• Cara Marvin, D.PH.
• James C Turner, DPH

• Community/Retail Pharmacy in Kenton, TN
• Providers in Kenton, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.