DR. KEVIN PATRICK KORNBLUH (NPI# 1528679123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528679123 |
| Entity Type | Individual |
| Full Name | DR. KEVIN PATRICK KORNBLUH |
| Credential | PHARMD |
| Practice Address |
1954 Madison St Clarksville TN 37043-8038 |
| Practice Telephone | 9315528108 |
| Practice Fax Number | 9315529614 |
| Mailing Telephone | 9315528108 |
| Mailing Fax Number | 9315529614 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 44463 | TN | Pharmacy Service Providers |
| Street Address |
1954 MADISON ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669487674 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1954 Madison St, Clarksville, TN 37043-8038 | 2006-07-29 |
| 1285245944 | Magdeline M Currie | Pharmacist | 1954 Madison St, Clarksville, TN 37043-8038 | 2020-08-14 |
| 1720699622 | Adam Brook Kessler | Pharmacist | 1954 Madison St, Clarksville, TN 37043-8038 | 2020-08-13 |
| 1164944427 | Jason Bailey Thompson | Pharmacist | 1954 Madison St, Clarksville, TN 37043-8038 | 2017-07-08 |
| 1487022893 | Kristen Brooke Griffy | Pharmacist | 1954 Madison St, Clarksville, TN 37043-8038 | 2015-09-02 |
| 1225314743 | Amanda Sears Mayes | Pharmacist | 1954 Madison St, Clarksville, TN 37043-8038 | 2011-10-28 |
| 1538445309 | Dale Alan Christensen | Pharmacist | 1954 Madison St, Clarksville, TN 37043-8038 | 2011-10-25 |
| 1518241629 | Lanny Mize | Pharmacist | 1954 Madison St, Clarksville, TN 37043-8038 | 2011-10-07 |
| 1649554916 | Adam L Steimer | Pharmacist | 1954 Madison St, Clarksville, TN 37043-8038 | 2011-10-05 |
| 1720362205 | Angela Pollock Loughery | Pharmacist | 1954 Madison St, Clarksville, TN 37043-8038 | 2011-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| 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 |
|---|---|---|---|---|
| 1780294553 | Widad H Mohammed | Pharmacist | 6383 Ten Oaks Rd, Clarksville, MD 21029-1104 | 2020-08-05 |
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1366918120 | Tbony Marie Jewell | Pharmacist | 588 Fire Station Rd Ste F, Clarksville, TN 37043-4091 | 2018-10-19 |
| 1528589280 | Laura Kaitlyn Thomason | Pharmacist | 2896 Sharpie Dr, Clarksville, TN 37040-9509 | 2017-07-03 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1417320367 | Tae Seung Oh | Pharmacist | 5301 Aerie Ct, Clarksville, MD 21029-1103 | 2015-11-01 |
| 1144610809 | Whitney Dulin | Pharmacist | 2197 Madison St Ste 109, Clarksville, TN 37043-5253 | 2015-02-02 |
| 1811301161 | Elizabeth Okang | Pharmacist | 11809 Chapel Woods Ct, Clarksville, MD 21029-1117 | 2014-06-15 |
| 1396086856 | Chiyon Lee | Pharmacist | 6321 Kerne Ct, Clarksville, MD 21029-1558 | 2013-03-08 |
| 1366707424 | Lopa B Patel | Pharmacist | 7319 Meadow Wood Way, Clarksville, MD 21029-1727 | 2012-07-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on DR. KEVIN PATRICK KORNBLUH.
| 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.