Clayton Kilgore · Pharmacist

208 Suncrest St Unit 1, Gray, TN 37615

Overview

Clayton Kilgore is a Pharmacist practicing in Gray, Tennessee. The National Provider Identifier (NPI) is #1568962983, which was assigned on February 13, 2018, and the registration record was last updated on July 24, 2018. The practitioner's main practice location is at 208 Suncrest St Unit 1, Gray, TN 37615; the contact telephone number is 4234773847, and the fax number is 4234774392. The primary taxonomy of Clayton Kilgore is Pharmacist (183500000X). Clayton Kilgore is licensed to practice in the state of Tennessee (#38604).

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.

Provider Information

NPI 1568962983
Entity Type Individual
Provider Name CLAYTON KILGORE
Gender Male
Credential PHARMD
Practice Address 208 Suncrest St Unit 1
Gray
TN 37615
Practice Telephone 4234773847
Practice Fax Number 4234774392
Mailing Address 208 Suncrest St Unit 1
Gray
TN 37615-3494
Mailing Telephone 4234773847
Mailing Fax Number 4234774392
Enumeration Date 2018-02-13
Last Update Date 2018-07-24
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y183500000XPharmacist38604TN

Taxonomy Information

Primary Taxonomy

Code 183500000X
Taxonomy Pharmacist
Classification Pharmacist
Grouping Pharmacy Service Providers
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.
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]

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Location Information

Street Address 208 SUNCREST ST UNIT 1
City GRAY
State TN
Zip Code 37615
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
William Machenzie Rasnick 208 Suncrest St Unit 1, Gray, TN 37615-3494Pharmacist2025-07-16

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Boones Creek Medical PLLC 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615Family Medicine Physician2006-07-11
Anna Lynne Deal · Anna Lynne Sheffield 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615Family Nurse Practitioner2009-08-11
Medical Education Assistance Corporation 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615Developmental - Behavioral Pediatrics Physician2011-12-19
Joseph K Reid 2244 Boones Creek Road, Gray, TN 37615-1417Physician Assistant2005-06-15
Little Blessings Aba, PLLC 182 Maden Dr, Gray, TN 37615-2212Behavioral Analyst2022-12-13
Sydney Blake Younts 2244 Boones Creek Road, Johnson City, TN 37615Physician Assistant2021-08-29
Jessica Joy Hicks 182 Maden Dr, Gray, TN 37615-2212Behavioral Analyst2007-02-02
Ashley Diaz 232 Mickelson Pl, Johnson City, Johnson City, TN 37615Registered Dietitian2024-05-28
Mark Theodore Simpson 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615Clinical Psychologist2007-04-08
Susan Kay Pennypacker 140 Old Gray Station Rd, Suite 200, Gray, TN 37615Family Nurse Practitioner2005-08-16
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.