KIZER PHARMACY LLC (NPI# 1154388890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154388890 |
| Entity Type | Organization |
| Organization Name | KIZER PHARMACY LLC |
| Practice Address |
1117 S Miles Ave Ste. 1 Union City TN 38261-5439 |
| Practice Telephone | 7318852226 |
| Practice Fax Number | 7318852291 |
| Mailing Telephone | 7318852226 |
| Mailing Fax Number | 7318852291 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | DR. JASON SMITH KIZER (OWNER/ PRESIDENT) |
| Authorized Official Telephone | 7318852226 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10005 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 4073242 | 01 |
| KY | PENDING | 05 | |
| TN | 1454376 | 05 |
| Street Address |
1117 S MILES AVE STE. 1 |
| City | UNION CITY |
| State | TN |
| Zip Code | 38261-5439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174857064 | Jason Smith Kizer | Pharmacist | 1117 S Miles Ave, Ste. 1, Union City, TN 38261-5439 | 2009-09-24 |
| 1710133558 | Richard Earl Holford II | Pharmacist | 1117 S Miles Ave, Suite 1, Union City, TN 38261-5439 | 2008-08-12 |
| 1578762647 | Pediatric Place of Union City LLC | Pediatrics | 1117 S Miles Ave, Suite 3, Union City, TN 38261-5439 | 2007-07-17 |
| 1265631329 | John B Bates | Pediatrics | 1117 S Miles Ave, Suite 3, Union City, TN 38261-5439 | 2007-07-17 |
| 1144348079 | Stephanie Lynn Harder | Registered Nurse | 1117 S Miles Ave, Suite 3, Union City, TN 38261-5439 | 2007-03-27 |
| 1033277983 | Travis Dale Shumate | Dentist | 1117 S Miles Ave, Suite 2, Union City, TN 38261 | 2006-12-04 |
| 1619089448 | Rcg Martin LLC | Clinic/Center | 1117 S Miles Ave, Suite 6, Union City, TN 38261-5439 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540200 | Brandi N Rose | Nurse Practitioner | 1109 E Reelfoot Ave Ste A, Union City, TN 38261 | 2015-02-13 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1548413545 | Vip Transpotation | Non-emergency Medical Transport (VAN) | 3888 Ken-tenn Hwy, Union City, TN 38261 | 2008-11-04 |
| 1902052137 | Michelle Davis Hudspeth | Speech-Language Pathologist | 1105 Sunswept Drive, Union City, TN 38261 | 2008-08-07 |
| 1053581744 | Terrell Clinic LLC | Nurse Practitioner | 701 East Reelfoot Ave, Suite 100, Union City, TN 38261 | 2008-03-10 |
| 1275673212 | Kristy Anne Mclaughlin | Counselor | 108 S 1st St, Union City, TN 38261 | 2007-02-07 |
| 1407900970 | Johnny R Miller Dmd Family Dentistry Inc | Dentist | 1209 Russell St, Union City, TN 38261 | 2007-01-22 |
| 1235223017 | Gabriel Paul Sullivan | Dentist | 1007 E Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1003900887 | Gabe Sullivan Dds Plc | Dentist | 1007 East Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1144312521 | Bhekumuzi Mcglen Khumalo | Podiatrist | 1190 E. Reelfoot Ave, Suite D, Union City, TN 38261 | 2006-09-29 |
| Find all providers in zip 38261 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735725 | Oladayo Agboola | Pharmacist | 119 Peter St Apt 609, Union City, NJ 07087-5909 | 2020-06-18 |
| 1437796505 | Nam Hoai Phuong | Pharmacist | 24 Union Sq Apt 528, Union City, CA 94587-8537 | 2019-12-07 |
| 1912554775 | Linn Nay Chie | Pharmacist | 4441 Niland St, Union City, CA 94587-5486 | 2019-08-26 |
| 1356810964 | Amanuel Teklemariam | Pharmacist | 218 48th St, Union City, NJ 07087-6438 | 2018-11-13 |
| 1568960557 | Lauren Elizabeth Jackson | Pharmacist | 1117 S Miles Ave Ste 1, Union City, TN 38261-5439 | 2018-01-25 |
| 1730629437 | Michael Bottarini | Pharmacist | 32980 Alvarado Niles Rd Ste 836, Union City, CA 94587-3186 | 2017-02-28 |
| 1447702006 | Katie Le | Pharmacist | 4731 Silvertide Ct, Union City, CA 94587-6012 | 2016-10-31 |
| 1396191425 | Super Pharmacy Inc | Pharmacist | 4611 Bergenline Ave, Union City, NJ 07087-5109 | 2016-05-07 |
| 1699138396 | Rick Hien Ngo | Pharmacist | 209 Dutra Vernaci Dr, Union City, CA 94587-5475 | 2016-03-30 |
| 1962871061 | Caroline Kim Ha | Pharmacist | 4214 Apollo Cir, Union City, CA 94587-4008 | 2015-09-18 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 38261 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.