Individual provider Active NPI

Renee Miklyn Huskey, PHARMD

  • Pharmacist
  • Athens, TN
National Provider Identifier
1942714688
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41440 Issued in TN
Practice address
1001 W Madison Ave
Athens, TN 37303-3433
Phone
(423) 746-2626
NPI assigned
Nov 16, 2017
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41440 TN Primary

Addresses

Primary practice location

1001 W Madison Ave
Athens, TN 37303-3433

Mailing address

149 County Road 650
Etowah, TN 37331-5322
Phone (423) 368-6439

Other practice location 1

2260 Chambliss Ave NW
Cleveland, TN 37311-3843
Phone (423) 479-8601

Other practice location 2

120 23rd St NW
Cleveland, TN 37311-3845
Phone (423) 790-7336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
41440TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
JKBC Wolf Inc PastSince Jun 15, 2021 Accepting new patients
Crawfords Pharmacy Inc Past Accepting new patients
JKBC Wolf Inc PastSince Jul 21, 2024 Accepting new patients
Pharmacy Home Care of East Tennessee, Inc Past Accepting new patients
Crawfords Pharmacy Inc PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1942714688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 COUNTY ROAD 650",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373315322",
            "telephone_number": "423-368-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033433",
            "telephone_number": "423-746-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 Chambliss Ave NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113843",
            "country_code": "US",
            "telephone_number": "423-479-8601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 23rd St NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113845",
            "country_code": "US",
            "telephone_number": "423-790-7336",
            "fax_number": "423-790-7336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSKEY",
        "first_name": "RENEE",
        "middle_name": "MIKLYN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "41440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.