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Bloomingdale Drug of Kingsport, LLC

NPI 1437164316ActiveOrganization· Pharmacist· Kingsport, TN

Pharmacist in Kingsport, Tennessee, registered in NPPES in July 2006. The authorized official on file is Kenneth D. Harr, PHARM. D., Owner. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).

Overview

NPI1437164316
StatusActive
Entity typeOrganization
NPI issuedJul 29, 2006
Last updated in NPPESOct 29, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X496TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (TN); Part B Supplier - Mass Immunization (Roster Biller Only) (TN)

Medicare sources and data years

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