DR. KEVIN MAX BROOKSBANK (NPI# 1912299819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912299819 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MAX BROOKSBANK |
| Credential | PHARMD |
| Practice Address |
1840 Decherd Blvd Decherd TN 37324-3655 |
| Practice Telephone | 9319671218 |
| Practice Fax Number | 9319689479 |
| Mailing Telephone | 9319671218 |
| Mailing Fax Number | 9319689479 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 22970 | TN | Pharmacy Service Providers |
| Street Address |
1840 DECHERD BLVD |
| City | DECHERD |
| State | TN |
| Zip Code | 37324-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851325583 | Kroger Limited Partnership I | Pharmacy | 1840 Decherd Blvd, Decherd, TN 37324-3655 | 2006-07-10 |
| 1043519325 | David Alan Zimmerman | Pharmacist | 1840 Decherd Blvd, Decherd, TN 37324-3655 | 2011-03-25 |
| 1649318551 | Tiffany Nicole Wiley-cox | Pharmacist | 1840 Decherd Blvd, Decherd, TN 37324-3655 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750464921 | Gursheel S. Dhillon | Internal Medicine | 2144 Decherd Blvd, Decherd, TN 37324 | 2006-10-23 |
| 1457367880 | Franklin County Diagnostics | Specialist | 25 Veterans Drive, Decherd, TN 37324 | 2006-07-31 |
| 1760455430 | Daryl Doney | Durable Medical Equipment & Medical Supplies | 2866 Decherd Blvd., Decherd, TN 37324 | 2006-02-10 |
| 1063484475 | William Andrew Kuhar Jr. | Chiropractor | 2008 Decherd Blvd, Decherd, TN 37324 | 2006-02-02 |
| 1245719012 | Dale B Farris Jr | Chiropractor | 1210 W Main St, Decherd, TN 37324-3607 | 2018-08-12 |
| 1851491591 | Karen Elizabeth Chiu | Nurse Practitioner | 1764 Decherd Blvd, Decherd, TN 37324-3654 | 2006-09-23 |
| 1598167942 | Winchester Christian Healthcare, LLC | Nurse Practitioner | 1764 Decherd Blvd, Decherd, TN 37324-3654 | 2014-09-17 |
| 1770798886 | Cumberland Healthcare Group Pllc | Family Medicine | 1764 Decherd Blvd, Decherd, TN 37324-3654 | 2007-05-11 |
| 1225043268 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1855 Decherd Blvd, Decherd, TN 37324-3656 | 2006-07-29 |
| 1063733269 | Robert B Kilpatrick | Pharmacist | 1855 Decherd Blvd, Decherd, TN 37324-3656 | 2010-06-22 |
| Find all providers in zip 37324 | ||||
| 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 |
|---|---|---|---|---|
| 1104134659 | Leonard Hugh Parton | Pharmacist | 1755 Decherd Blvd, Decherd, TN 37324-3657 | 2010-09-17 |
| 1043519325 | David Alan Zimmerman | Pharmacist | 1840 Decherd Blvd, Decherd, TN 37324-3655 | 2011-03-25 |
| 1063733269 | Robert B Kilpatrick | Pharmacist | 1855 Decherd Blvd, Decherd, TN 37324-3656 | 2010-06-22 |
| 1649318551 | Tiffany Nicole Wiley-cox | Pharmacist | 1840 Decherd Blvd, Decherd, TN 37324-3655 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447628 | Daniel Lasselle | Pharmacist | 3133 Boulder Park Dr, Nashville, TN 37214-3821 | 2020-11-03 |
| 1407453756 | Cameron Davidson | Pharmacist | 1037 Livingstone Ln, Mount Juliet, TN 37122-0605 | 2020-10-08 |
| 1669089041 | Victor Ikechukwu Emmanuel | Pharmacist | 107 Charles E Davis Blvd # 2745, Nashville, TN 37210-2745 | 2020-09-29 |
| 1730796467 | Judy Trac | Pharmacist | 410 Mayfield Pl, Brentwood, TN 37027-8542 | 2020-09-27 |
| 1023623279 | Jansje M Hoppe-roberts | Pharmacist | 2539 Brachton Ave, Germantown, TN 38139-6409 | 2020-09-14 |
| 1093320285 | Joanna J Porter | Pharmacist | 4021 Meadow Hill Dr, Nashville, TN 37218-1728 | 2020-09-14 |
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1841805637 | Jenifer C. Jennings | Pharmacist | 615 State St Apt 201, Knoxville, TN 37902-1243 | 2020-09-09 |
| 1477167500 | Alysa Alexandria Ness | Pharmacist | 105 Woodyside Dr, Hendersonville, TN 37075-4445 | 2020-09-05 |
| 1790398287 | Haleema Saadia | Pharmacist | 3144 North Avenue, Jackson, TN 38305-0100 | 2020-08-25 |
| 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.