Kim Odle, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

9667 Issued in TN

Practice address

4221 Fort Henry Dr
Kingsport, TN 37663-2227

Phone

(423) 239-9191

NPI assigned

Mar 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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

• K & M Pharmacy PC

  • Long Term Care Pharmacy
  • Kingsport, TN
  • NPI 1356103782
  NPD
• K & M Pharmacy PC

  • Community/Retail Pharmacy
  • Kingsport, TN
  • NPI 1902320989
  NPD

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1982927224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 ARROWHEAD TRL",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376645101",
            "telephone_number": "423-646-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632227",
            "telephone_number": "423-239-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLE",
        "first_name": "KIM",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "9667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda K O'Neal, CCC-SLP
• Chastity M O'Quinn, RD
• James Clyde Oaks, PTA
• Wendy Tipton Oberdick, MD
• Lynn Marie Oconnell, FNP-C
• Kelechi Ogbonnaya, DPT
• Kelly S Oggero, M.D.
• Kourtney Kahler Oggero, FNP
• Frank L Oglesby Jr., O.D.
• Tasha Marie Olinger, M.S., CF-SLP

• Pharmacist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.