Bko Stephens Inc.
Organization Active NPI Pharmacist · Pikeville, TN
NPI 1902931868 · NPPES record last updated Mar 16, 2021
Key facts
- NPI
- 1902931868
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 1068 (TN)
- Legal business name
- BKO STEPHENS INC.
- Practice address
- 3135 Main St
Pikeville, TN 37367 - Phone
- (423) 447-2434
- Fax
- (423) 447-6151
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Miss Kara G Upchurch, OWNER
- Title
- President
- Phone
- (423) 447-2434
Practitioners 5
-
Bradley S Hargis, CPHT
-
Kara G Upchurch, PHARM TECH
-
Garrett Blake Carver, DPH
-
Christopher Martin Noble, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2233295 | Bko Stephens Pharmacy Inc | Certificate of waiver | Aug 22, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bko Stephens Inc. |
Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930082787 | TN | DME Supplier - Pharmacy | 3476764069 | Practice locations: Pikeville, TN |
| O20210326000234 | TN | Part B Supplier - Pharmacy | 3476764069 | Practice locations: Pikeville, TN |
National Provider Directory
Locations
3135 Main St
Pikeville, TN 37367
Phone (423) 447-2434
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 1068 | TN | Yes |
Addresses
Primary practice location
3135 Main St
Pikeville, TN 37367
Mailing address
PO Box 829
Pikeville, TN 37367
Phone (423) 447-2434
Other names
- Stephens Pharmacy
Other providers in Pikeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.