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BLOOMINGDALE DRUG OF KINGSPORT, LLC
NPI 1437164316
Pharmacist in Kingsport, TN

Active since July 29, 2006CLIA 44D2159890 · Waiver
2900 BLOOMINGDALE RD, KINGSPORT, TN 37660(423) 288-4812(423) 288-9469 Get Directions Write a Review

NPPES record last updated: October 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bloomingdale Drug Of Kingsport, Llc NPPES

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

BLOOMINGDALE DRUG OF KINGSPORT, LLC (NPI 1437164316) is a healthcare organization registered as a pharmacist in Kingsport, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Kenneth D Harr, Owner, as its authorized official.

NPPES Registry Identity

NPI1437164316
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameBLOOMINGDALE DRUG OF KINGSPORT, LLC
Location Address2900 BLOOMINGDALE RDKingsport, TN 37660-1957
Mailing Address2900 Bloomingdale RdKingsport, TN 37660-1957 · (423) 288-4812 · Fax (423) 288-9469
Phone(423) 288-4812
Fax(423) 288-9469
Organization SubpartNo
Authorized OfficialKenneth D HarrOwner · (423) 288-4812
Enumeration DateJuly 29, 2006
Last NPPES UpdateOctober 29, 2008
✔ NPI 1437164316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TN · 496
Definition
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.
2900 BLOOMINGDALE RD, Kingsport, TN 37660
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Other Identifiers 3

Medicaid1452212TN
Medicaid8508135VI
Medicare NSC1170640001TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2159890

Bloomingdale Drug Center · Kingsprt, TN
Active · expires Dec 27, 2026
CLIA Number44D2159890
Laboratory TypePharmacy
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorKen Harr
Laboratory Phone(423) 288-4812
Laboratory LocationBloomingdale Drug Center2900 Bloomingdale Road, Kingsprt, TN 37660
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SUSAN HUNT
Pharmacist
2900 BLOOMINGDALE RD
KINGSPORT, TN 37660
Sullivan County (423) 288-4812
MICHAEL HARR PHARMD
Pharmacist
2900 BLOOMINGDALE RD
KINGSPORT, TN 37660
Sullivan County (423) 288-4812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloomingdale Drug Of Kingsport, LLC's NPI number?

The NPI number for Bloomingdale Drug Of Kingsport, LLC is 1437164316. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Bloomingdale Drug Of Kingsport, LLC located?

Bloomingdale Drug Of Kingsport, LLC is located at 2900 Bloomingdale Rd, Kingsport, TN 37660. The listed phone number is (423) 288-4812.

What is Bloomingdale Drug Of Kingsport, LLC's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Bloomingdale Drug Of Kingsport, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2159890) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bloomingdale Drug Of Kingsport, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Bloomingdale Drug Of Kingsport, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloomingdale Drug Of Kingsport, LLC was last updated on October 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.