EAST HICKMAN PHARMACY - NPI 1184968455

Q: What is Kjk LLC's NPI number?

The NPI number for Kjk LLC is 1184968455. It was assigned to this organization in the NPPES registry on November 26, 2012. The provider is doing business as East Hickman Pharmacy.

Q: What is Kjk LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Kjk LLC was last updated on January 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About East Hickman Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST HICKMAN PHARMACY (NPI 1184968455) is a healthcare organization registered as a community/retail pharmacy in Lyles, Tennessee and active in the NPI registry since November 2012. The organization lists Christopher Konecny, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184968455

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKJK LLC

Location Address7723 CLEARVIEW CHURCH LNLyles, TN 37098-1674

Mailing Address7723 Clearview Church LnLyles, TN 37098-1674 · (931) 670-6035 · Fax (931) 670-6399

Phone(931) 670-6035

Fax(931) 670-6399

Organization SubpartNo

Authorized OfficialChristopher KonecnyCfo · (732) 580-5805

Enumeration DateNovember 26, 2012

Last NPPES UpdateJanuary 17, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2022

✔ NPI 1184968455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TN · 1530

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

7723 CLEARVIEW CHURCH LN, Lyles, TN 37098

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Other Names 1

Doing Business AsEast Hickman Pharmacy

Other Identifiers 2

Other2138079Pk

MedicaidQ045581TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARTHA JANE SHEPARD D.PH.

Pharmacist