MEDICARE: ADERO KAIA STALLWORTH PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0000041804	TN

General Provider Information

NPI Number	:	1326640863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADERO KAIA STALLWORTH PHARMD

Provider Business Mailing Address
First Line	:	165 LONE OAK DR
Second Line	:
City	:	EADS
State	:	TN
Zip	:	38028-3361
Country	:	US
Telephone Number	:	901-494-6538
Fax Number	:

Provider Business Practice Location Address
First Line	:	6520 MEMPHIS ARLINGTON RD
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38135-2402
Country	:	US
Telephone Number	:	901-388-4331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	11/10/2020

Similar Medicare Providers

1528085727 — WAL-MART STORES EAST LP
Practice Location Address:

6520 MEMPHIS ARLINGTON RD
BARTLETT, TN
38135-2402

Practice Phone: 901-388-4331
Practice Fax: 901-388-5157

1083233738 — DR. LEWIS TODD MCWILLIAMS PHARMD
Practice Location Address:

6520 MEMPHIS ARLINGTON RD
BARTLETT, TN
38135-2402

Practice Phone: 901-388-4331
Practice Fax: 901-388-4250

1043812126 — OLUWASEMINIYANU QUADRY PHARMD
Practice Location Address:

6520 MEMPHIS ARLINGTON RD
BARTLETT, TN
38135-2402

Practice Phone: 908-388-1004
Practice Fax:

1154073195 — MR. ROBERT JOHNSON JR. PHARM. D.
Practice Location Address:

6520 MEMPHIS ARLINGTON RD
BARTLETT, TN
38135-2402

Practice Phone: 901-388-4331
Practice Fax:

1528068038 — MS. GLORIA M. DIAZ-RAMOS OTR/L
Practice Location Address:

4137 CALLIE POWELL CV
BARTLETT, TN
38135-1645

Practice Phone: 901-438-7162
Practice Fax:

1922056431 — CARL J SICILIANO DPM
Practice Location Address:

7424 US HIGHWAY 64 , STE 119
BARTLETT, TN
38135

Practice Phone: 901-381-2800
Practice Fax: 901-381-2677

Directions to “ ADERO KAIA STALLWORTH PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.