K & M Pharmacy PC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

500 Issued in TN

Legal business name

K & M PHARMACY PC

Doing business as

Colonial Heights Pharmacy

Practice address

4221 Fort Henry Dr Ste 2
Kingsport, TN 37663-2227

Phone

(423) 239-9191

Fax

(423) 239-0382

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

Chad Barclay Huntsman, PHARMD

Title

President

Phone

(423) 581-8436

Specialties & licenses 1

Addresses

Other names 1

• Colonial Heights Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Colonial Heights Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• K & M Pharmacy PC

  dba Colonial Heights Pharmacy

  • Long Term Care Pharmacy
  • Kingsport, TN
  • NPI 1356103782
  NPD tax ID

Locations

Practitioners 2

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

• Kim Odle, PHARMD

  • Pharmacist
  • Kingsport, TN
  • NPI 1982927224
  NPD
• Caden Walker Cox, PHARMD

  • Pharmacist
  • Johnson City, TN
  • NPI 1821684051
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1902320989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 FORT HENRY DR STE 2",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632227",
            "telephone_number": "423-239-9191",
            "fax_number": "423-239-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 FORT HENRY DR STE 2",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632227",
            "telephone_number": "423-239-9191",
            "fax_number": "423-239-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & M PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "HUNTSMAN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "BARCLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-581-8436",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Heights Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Carlson Justice, MSPAP, PA-C
• Phillip E Justice, D.O.
• Rona C Justice, APN
• Aaron W Justus, PTA
• K & M Pharmacy PC (Colonial Heights Pharmacy)
• K VA T Food Stores Inc (Food City Pharmacy)
• K VA T Food Stores Inc (Food City Pharmacy)
• K-VA-T Food Stores Inc (Food City Pharmacy #657)
• K. G. Porter, MD, LLC
• Rajesh Shivaji Kadam, M.D.

• Community/Retail Pharmacy in Kingsport, TN
• Providers in Kingsport, 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 Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.