KEYSTONE PHARMACY SERVICES, LLC (NPI# 1508113143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508113143 |
| Entity Type | Organization |
| Organization Name | KEYSTONE PHARMACY SERVICES, LLC |
| Other Organization Name | UT STUDENT HEALTH CENTER PHARMACY |
| Practice Address |
1800 Volunteer Blvd Knoxville TN 37996-4522 |
| Mailing Address |
8930 Cross Park Dr Suite 2 Knoxville TN 37923-4713 |
| Practice Telephone | 8659743135 |
| Mailing Telephone | 8656944484 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | GRANT RIDDLE (PHARMACIST) |
| Authorized Official Telephone | 8656179011 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| UT Student Health Center Pharmacy | Doing Business As Name - Organization |
| Street Address |
1800 VOLUNTEER BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37996-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871575340 | Eric R Prenshaw | Pediatrics | 1800 Volunteer Blvd, Knoxville, TN 37996-3102 | 2005-11-18 |
| 1063048106 | Elliott Nolan Devore | Psychologist | 1800 Volunteer Blvd, Knoxville, TN 37996-4522 | 2020-03-20 |
| 1821436569 | Clayton Alexander Culp | Social Worker | 1800 Volunteer Blvd, Knoxville, TN 37996 | 2013-06-04 |
| 1598900656 | Kenli Ann Urruty | Psychologist | 1800 Volunteer Blvd, Knoxville, TN 37996-4522 | 2008-12-03 |
| 1427151869 | Margaret Ann Young | Internal Medicine | 1800 Volunteer Blvd, Ut- Student Health Center, Knoxville, TN 37996-3102 | 2006-09-07 |
| 1184666851 | Pamela Asbury-hux | Nurse Practitioner | 1800 Volunteer Blvd, Knoxville, TN 37996-2800 | 2006-06-10 |
| 1255314282 | Spencer Duncan Gregg | Internal Medicine | 1800 Volunteer Blvd, Knoxville, TN 37996-3102 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093957227 | Advance Medical Transportation Company | Non-emergency Medical Transport (VAN) | 400 Hialeah Dr., #42, Knoxville, TN 37996 | 2009-04-02 |
| 1033232913 | Jennifer Jackson Wilson | Speech-Language Pathologist | 1600 Peyton Manning, Knoxville, TN 37996 | 2007-04-07 |
| 1700810132 | Leticia Yolanda Flores | Psychologist | 600 Henley Street, Suite 208 Ut Psychological Clinic Ut Conference Center, Knoxville, TN 37996 | 2006-07-10 |
| 1720609498 | Kevin Matthew Fry | Psychologist | 208 Conference Center Building 600 Henley Street, Knoxville, TN 37996-0001 | 2020-05-04 |
| 1487908067 | University of Tennessee Health Science Center | Audiologist | 444 S Stadium Hl, Knoxville, TN 37996-0001 | 2012-11-02 |
| 1750695581 | Steven Michael Doettl | Audiologist | 578 S Stadium Hl, Ut Knoxville, Knoxville, TN 37996-0001 | 2010-08-04 |
| 1720301948 | Casey Laurel Surber | Speech-Language Pathologist | The University of Tennessee, 578 South Stadium Hall, Knoxville, TN 37996-0001 | 2010-03-02 |
| 1619202454 | Gina Owens | Psychologist | 1404 Circle Dr Dept of Psychology, University of Tennessee, Knoxville, TN 37996-0001 | 2009-10-13 |
| 1669604823 | University of Tennessee-knoxville Psychological Clinic | Clinic/Center | 227 Austin Peay Building University of Tenn, Knoxville, TN 37996-0001 | 2009-08-20 |
| 1700015336 | Nola Radford | Speech-Language Pathologist | Hearing and Speech Ctr, 1600 Peyton Manning Pass, Knoxville, TN 37996-0001 | 2009-07-02 |
| Find all providers in zip 37996 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497151252 | Compounding Pharmacy of America | Pharmacy | 6216 Highland Place Way Ste 201, Knoxville, TN 37919-4068 | 2014-11-06 |
| 1942540828 | University Health System Inc | Pharmacy | 1924 Alcoa Hwy Ste Np100, Knoxville, TN 37920-1511 | 2013-02-28 |
| 1316215981 | Belew Drugs Washington Pike Inc | Pharmacy | 5908 Washington Pike Ste 102, Knoxville, TN 37918-7100 | 2011-12-09 |
| 1760717896 | Tennessee Cancer Specialists Pllc | Pharmacy | 1415 Old Weisgarber Rd Ste 200, Knoxville, TN 37909-1341 | 2009-10-07 |
| 1104057579 | Advanced Specialty Pharmacy of Knoxville, LLC | Pharmacy | 9947 Kingston Pike, Knoxville, TN 37922-6923 | 2009-08-04 |
| 1730221243 | B & P, Inc. | Pharmacy | 815 Merchant Rd, Knoxville, TN 37912-3817 | 2007-02-12 |
| 1922158245 | Kenton Howard Page | Pharmacy | 5034 N Broadway St Ste 220, Knoxville, TN 37918-2371 | 2007-01-11 |
| 1215008230 | Longs Kingston Pike Drugs Inc | Pharmacy | 4604 Kingston Pike, Knoxville, TN 37919-5230 | 2006-11-13 |
| 1265520084 | Walker & Wyatt, LLC | Pharmacy | 4206 Chapman Highway, Knoxville, TN 37920 | 2006-10-10 |
| 1881609485 | Total Health | Pharmacy | 7259 Oak Ridge Hwy, Knoxville, TN 37931-2614 | 2006-07-30 |
| Find all providers in KNOXVILLE | ||||
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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.