Healthcare Provider Details

I. General information

NPI: 1558287227
Provider Name (Legal Business Name): KCP COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 HIGHWAY 99
WAYNESBORO TN
38485-3003
US

IV. Provider business mailing address

PO BOX 125
WAYNESBORO TN
38485-0125
US

V. Phone/Fax

Practice location:
  • Phone: 931-722-3000
  • Fax: 931-722-3030
Mailing address:
  • Phone: 931-722-3000
  • Fax: 931-722-3030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CASSIE PYLE
Title or Position: OWNER/PIC
Credential: PHARMD
Phone: 931-306-7549