Ethan Lee Kirby, PharmD
Pharmacist in Farragut, TN. Individual provider (NPI-1).
NPI number1164028163
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1164028163
- Entity type
- Individual (NPI-1)
- Name
- Ethan Lee Kirby
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2020
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0000043673 | TN | Yes |
Practice location
11927 Kingston PikeFarragut, TN 37934-4602
Phone 865-671-0932
Mailing address
2316 Yellow Birch Way Apt A303Knoxville, TN 37931-2588
Phone 865-456-2945
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 26 Pharmacist providers in Farragut · All 132 providers in Farragut
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