KJK LLC (NPI# 1730680414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730680414 |
| Entity Type | Organization |
| Organization Name | KJK LLC |
| Other Organization Name | GOODLARK PHARMACY AT FAIRVIEW |
| Practice Address |
2340 Fairview Blvd. Suite 300 Fairview TN 37062 |
| Practice Telephone | 6154468043 |
| Practice Fax Number | 6154467556 |
| Mailing Telephone | 6153879000 |
| Mailing Fax Number | 6152662362 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | CHRISTOPHER PAUL KONECNY (CFO, OWNER, PHARMD) |
| Authorized Official Telephone | 7325805805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Goodlark Pharmacy at Fairview | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467708586 | Kjk LLC | Pharmacy | 127 Crestview Park Dr Ste 100, Dickson, TN 37055-2854 | 2012-07-26 |
| 1003234758 | Kjk LLC | Pharmacy | 1913 Church St, Nashville, TN 37203-2203 | 2014-03-31 |
| 1184968455 | Kjk LLC | Pharmacy | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-11-26 |
| Street Address |
2340 FAIRVIEW BLVD. SUITE 300 |
| City | FAIRVIEW |
| State | TN |
| Zip Code | 37062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
| 1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
| 1063849875 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7100 Hopgood Rd, Fairview, TN 37062 | 2013-10-11 |
| 1710230628 | Phillip Owens | Counselor | 7200 Cumberland Dr, Fairview, TN 37062 | 2012-10-17 |
| 1013290899 | Zachary Neal Alexander | Counselor | 2595 Fairview Blvd, Fairview, TN 37062 | 2011-09-27 |
| 1750608113 | Savita Leanne Fanta | Internal Medicine | 2340 Fairview Blvd Ste 600d, Fairview, TN 37062 | 2010-04-26 |
| 1083818108 | Fairview Medical Center | Family Medicine | 7100 Adams Dr, Fairview, TN 37062 | 2007-06-13 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| 1386664217 | Shahla S Azhdari | Dentist | 2280 Fairview Blvd, Fairview, TN 37062 | 2006-07-21 |
| Find all providers in zip 37062 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174537179 | Sidney Health Center | Pharmacy | 304 South Ellery Ave., Fairview, MT 59221 | 2006-07-28 |
| 1518982172 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2006-07-13 |
| 1639714397 | Tucker Pharmacy, LLC | Pharmacy | 2415 Fairview Blvd, Fairview, TN 37062-9078 | 2019-11-16 |
| 1508144221 | Freds Stores of Tennessee Inc | Pharmacy | 2243 Fairview Blvd, Fairview, TN 37062-9070 | 2011-07-29 |
| 1730293721 | Fairview Pharmacy Inc | Pharmacy | 2243 Fairview Blvd, Fairview, TN 37062-9070 | 2006-08-18 |
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|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
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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.