COLONIAL HEIGHTS PHARMACY, INC. (NPI# 1619003399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619003399 |
| Entity Type | Organization |
| Organization Name | COLONIAL HEIGHTS PHARMACY, INC. |
| Other Organization Name | COLONIAL HEIGHTS PHARMACY |
| Practice Address |
4221 Ft. Henry Drive Kingsport TN 37663 |
| Practice Telephone | 4232399191 |
| Practice Fax Number | 4232390382 |
| Mailing Telephone | 4232399191 |
| Mailing Fax Number | 4232390382 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | MRS. MARTHA M DUNN (PHARMACIST / PIC) |
| Authorized Official Telephone | 4232399191 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
500 | TN | Suppliers |
| Y | 333600000X | Pharmacy | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1452937 | 05 |
| Other Name | Type Code |
|---|---|
| Colonial Heights Pharmacy | Doing Business As Name - Organization |
| Street Address |
4221 FT. HENRY DRIVE |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649528126 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 1567 North Eastman Road, Kingsport, TN 37663 | 2012-08-15 |
| 1548546419 | Vickie R Harris | Counselor | 317 Pitt Road, Kingsport, TN 37663 | 2011-10-24 |
| 1467746446 | Eric A. Echard | Dentist | 1339 Moreland Drive, Suite 1, Kingsport, TN 37663 | 2011-06-07 |
| 1316005986 | Robert F Mcamis Jr. | Dentist | 4016 Fort Henry Drive, Kingsport, TN 37663 | 2006-12-05 |
| 1467567412 | Colonial Heights Dental Assocaites | Dentist | 150 Clinic Drive, Suite A, Kingsport, TN 37663 | 2006-08-20 |
| 1194777953 | Nicholas Brett Smith | Family Medicine | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2006-05-17 |
| 1396720108 | Resp-i-care, Inc. | Durable Medical Equipment & Medical Supplies | 648 Eastern Star Rd, Kingsport, TN 37663 | 2005-12-14 |
| 1023000429 | Darryl Fontaine | Anesthesiology | 4105 Fort Henry Drive, Suite 207, Kingsport, TN 37663 | 2005-08-22 |
| 1659701696 | Jordan Burke | Physician Assistant | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-11-12 |
| 1649518309 | Blue Ridge Medical Managgement Corporation | Clinic/Center | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-01-30 |
| Find all providers in zip 37663 | ||||
| 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 |
|---|---|---|---|---|
| 1740809292 | Kerri Elizabeth Jones | Pharmacy | 404 Red Cedar Branch Rd, Kingsport, TN 37664-5049 | 2020-04-14 |
| 1386085132 | Premier Pharmacy Inc | Pharmacy | 109 Jack White Dr, Kingsport, TN 37664-2364 | 2013-07-09 |
| 1447549241 | K-va-t Food Stores Inc | Pharmacy | 300 Clinchfield Street, Kingsport, TN 37660-3604 | 2011-04-01 |
| 1811015928 | Cave's Drug Store Inc. | Pharmacy | 1328 S Jb Dennis Hwy Ste A, Kingsport, TN 37660-5495 | 2007-03-27 |
| 1871610220 | City Drug L.l.c | Pharmacy | 1624 E Stone Dr, Kingsport, TN 37660-4661 | 2007-03-23 |
| 1710093919 | Halsey Drug LLC | Pharmacy | 1901 Brookside Rd, Kingsport, TN 37660-4601 | 2006-08-21 |
| 1780695353 | P & S Pharmacy | Pharmacy | 613 Watauga St, Kingsport, TN 37660-4429 | 2006-08-10 |
| 1881611234 | K Va T Food Stores Inc | Pharmacy | 1205 N Eastman Rd, Crown Point Center, Kingsport, TN 37664-3145 | 2006-07-15 |
| 1437183167 | Kroger Limited Partnership I | Pharmacy | 1664 E Stone Dr, Kingsport, TN 37660-4663 | 2006-07-10 |
| 1386621696 | Berrys Pharmacy, Inc. | Pharmacy | 1717 Fort Henry Dr, Kingsport, TN 37664-3228 | 2005-12-28 |
| Find all providers in KINGSPORT | ||||
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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.