Kenton Howard Page

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

102 Issued in TN

Legal business name

KENTON HOWARD PAGE

Doing business as

Fountain City Pharmacy

Practice address

5034 N Broadway St Ste 220
Knoxville, TN 37918-2371

Phone

(865) 688-7025

Fax

(865) 688-3724

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Kenton Page, BS PHARMACY

Title

Pharmacist/Owner

Phone

(865) 688-7025

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Fountain City Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1922158245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 N BROADWAY ST",
            "address_2": "SUITE 220",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182392",
            "telephone_number": "865-688-7025",
            "fax_number": "865-688-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 N BROADWAY ST STE 220",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182371",
            "telephone_number": "865-688-7025",
            "fax_number": "865-688-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON HOWARD PAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "KENTON",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "865-688-7025",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "102",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shana Kennedy, LPC-MHSP
• Shelby Elizabeth Kennedy, MA CFY SLP
• Justin C Kennon, MD
• Kent H. Van Arsdell, M.D.
• John Kent
• Debra Jeanne Keough-Bonick, PHARMD
• Erin Diane Kephart
• Janelle Kepley, DNP, APRN, FNP-C
• Vanessa Lynn Kepper
• Tracie Kercher, ED.S

• Community/Retail Pharmacy in Knoxville, TN
• Providers in Knoxville, 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 May 5, 2016; 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.