Broadway & Main Pharmacy
LBN: Kv Medical Llc.
Broadway & Main Pharmacy is an health care organization with primary practice located at 136 E. Broadway , Newport TN 37821-2323. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kv Medical Llc. can be contacted via phone (423) 720-9777, or through Kickliter, Justin via phone (423) 720-9777.
Contact Information
Primary practice address
136 E. Broadway
Newport TN 37821-2323
Phone: (423) 720-9777
Fax: (423) 720-9778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1073086807 |
|---|---|
| LBN Legal business name | Kv Medical Llc. |
| DBA Doing business as | Broadway & Main Pharmacy |
| Authorized official | Kickliter, Justin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2019 |
| Last updated | Jul 8th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073086807 | NPPES |
| Tennessee | MEDICAID | Q046150 | |
| Tennessee | Other | 6866 |
Popular Providers
-
Bioscrip Pharmacy, Inc.
3900 Fifth Ave Ste 110, San Diego CA 92103-3122 -
Bioscrip Pharmacy, Inc.
8490 Santa Monica Blvd Ste 1, West Hollywood CA 90069-4261 -
Bioscrip Pharmacy, Inc.
1874 Piedmont Ave Ne Bldg A Suite A, Atlanta GA 30324-4869 -
Wal-Mart Stores East Lp
1075 Cosby Hwy , Newport TN 37821-7372 -
La Quinta Pharmacy
78150 Calle Tampico Ste 103, La Quinta CA 92253-2907 -
K Va T Food Stores Inc
181 Western Plaza Way , Newport TN 37821-2215 -
Bioscrip Pharmacy, Inc.
4940 Van Nuys Blvd Ste 104, Sherman Oaks CA 91403-1700 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542