KIM BOHANAN (NPI# 1598834947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598834947 |
| Entity Type | Individual |
| Full Name | KIM BOHANAN |
| Credential | R.PH. |
| Practice Address |
501 Adesa Blvd Suite A150 Lenoir City TN 37771 |
| Mailing Address |
4624 Clairson Dr Knoxville TN 37931-3655 |
| Practice Telephone | 8659864530 |
| Practice Fax Number | 8659864909 |
| Mailing Telephone | 8656932604 |
| Mailing Fax Number | 8659864909 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | C006969 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PHARMACY LICENSE NUMBER | C006969 | 01 |
| Street Address |
501 ADESA BLVD SUITE A150 |
| City | LENOIR CITY |
| State | TN |
| Zip Code | 37771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235137415 | Amir Ali A Hussaini | Psychiatry & Neurology | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2005-07-12 |
| 1225641319 | Keri Rebecca Bell | Licensed Practical Nurse | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2020-08-28 |
| 1629623087 | Laurie Apa | Counselor | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2019-08-02 |
| 1144730870 | Thyra Lynn Folkard | Case Manager/Care Coordinator | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2017-10-09 |
| 1669907853 | Allison Detig | Physical Therapist | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2017-04-25 |
| 1861931800 | Betty Edwards | Registered Nurse | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2017-02-22 |
| 1528515335 | Rebecca Matlock | Social Worker | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2016-09-09 |
| 1720480106 | Hilary Ann Parker | Counselor | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2014-09-17 |
| 1497992309 | Cherokee Health Systems | Psychologist | 501 Adesa Blvd, Ste A-150, Lenoir City, TN 37771-6719 | 2009-01-14 |
| 1437331436 | Raven Nicole Broyles | Case Manager/Care Coordinator | 501 Adesa Blvd, Ste A-150, Lenoir City, TN 37771 | 2007-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380621 | Geetika Chirumamilla | Dentist | 375 Kelsey Lane, Suite 1, Lenoir City, TN 37771 | 2018-06-15 |
| 1669918256 | Patrick Anthony Albanese | Pharmacist | 875 Hwy 321 N, Unit 600, Lenoir City, TN 37771 | 2017-01-06 |
| 1598014482 | Comprehensive Healthcare Systems of Lenoir City, PC | Contractor | 780 Highway 321 North Ste 10, Lenoir City, TN 37771 | 2012-09-06 |
| 1750619797 | James Olin Morris | Nurse Practitioner | 840 Hwy 321 N., Living Well Health Cooperative Clinic, Lenoir City, TN 37771 | 2009-12-03 |
| 1427284363 | Charles Preston Mccary IIi | Dentist | 603 Hwy 321 N., Lenoir City, TN 37771 | 2009-06-05 |
| 1619129004 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 300 Market Drive, Lenoir City, TN 37771 | 2008-10-16 |
| 1396898052 | David Wayne Holt | Chiropractor | 1005 E Broadway, Lenoir City, TN 37771 | 2007-01-18 |
| 1558428151 | Peter E Mueller | Optometrist | 911 Hwy 321 N, Lenoir City, TN 37771 | 2007-01-02 |
| 1871661371 | Darrick Shane Blankenship | Occupational Therapist | 785 Us Hwy 321 N, Ste 20, Lenoir City, TN 37771 | 2006-12-01 |
| 1851460224 | Cheryl S. Cason | Pharmacy Technician | 501 Adesa Blvd., Suite A 150, Lenoir City, TN 37771 | 2006-11-07 |
| Find all providers in zip 37771 | ||||
| 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 |
|---|---|---|---|---|
| 1982213732 | Korey Lamar Jones | Pharmacist | 460 Medical Park Dr Ste 1010, Lenoir City, TN 37772-5782 | 2020-07-28 |
| 1669918256 | Patrick Anthony Albanese | Pharmacist | 875 Hwy 321 N, Unit 600, Lenoir City, TN 37771 | 2017-01-06 |
| 1346512928 | Carrie Diane Sinclair | Pharmacist | 300 Market Dr, Lenoir City, TN 37771-6458 | 2012-01-30 |
| 1053376319 | Joseph Moseley Nowell Jr. | Pharmacist | 721 Highway 321 N Suite 2, Lenoir City, TN 37771-5003 | 2006-04-19 |
| 1275142036 | Hiralben Vishnubhai Patel | Pharmacist | 460 Medical Park Dr, Lenoir City, TN 37772-5782 | 2020-07-28 |
| 1710513775 | Jillian Kelsey Brown | Pharmacist | 570 Highway 321 N, Lenoir City, TN 37771-6545 | 2020-03-20 |
| 1063079952 | Brijesh Patel | Pharmacist | 460 Medical Park Dr Ste 101, Lenoir City, TN 37772-5782 | 2019-05-26 |
| 1790270585 | Whitney Miettinen | Pharmacist | 911 Highway 321 N, Lenoir City, TN 37771-6425 | 2018-06-25 |
| 1861986028 | Myra Robinson | Pharmacist | 911 Highway 321 N, Lenoir City, TN 37771-6425 | 2018-06-20 |
| 1588153324 | Susan Lynn Burcham | Pharmacist | 911 Highway 321 N, Lenoir City, TN 37771-6425 | 2018-05-08 |
| Find all providers in LENOIR CITY | ||||
| City | LENOIR CITY |
| Zip Code | 37771 |
Please comment or provide details below to improve the information on KIM BOHANAN.
| 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.