MEDICARE: JENNIFER SUZANNE KIRK RPH

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	8547	TN

General Provider Information

NPI Number	:	1538215256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER SUZANNE KIRK RPH

Provider Business Mailing Address
First Line	:	3901 DAYTON BLVD
Second Line	:
City	:	RED BANK
State	:	TN
Zip	:	37415-2715
Country	:	US
Telephone Number	:	423-877-9516
Fax Number	:	423-877-9459

Provider Business Practice Location Address
First Line	:	3901 DAYTON BLVD
Second Line	:
City	:	RED BANK
State	:	TN
Zip	:	37415-2715
Country	:	US
Telephone Number	:	423-877-9516
Fax Number	:

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	11/22/2020

Similar Medicare Providers

1407136401 — MR. ANTHONY LAMAR EVANS PHARM-D
Practice Location Address:

3901 DAYTON BLVD
RED BANK, TN
37415-2715

Practice Phone: 423-877-9516
Practice Fax: 423-877-9458

1356727820 — K-VA-T FOOD STORES INC
Practice Location Address:

3901 DAYTON BLVD
RED BANK, TN
37415-2715

Practice Phone: 423-877-9516
Practice Fax: 423-877-9459

1932625845 — ADAM FORREST BRANDON PHARMACIST
Practice Location Address:

3901 DAYTON BLVD
RED BANK, TN
37415-2715

Practice Phone: 423-877-9516
Practice Fax:

1508180670 — MR. JOHNNY SWANN RPH
Practice Location Address:

3901 DAYTON BLVD
CHATTANOOGA, TN
37415-2715

Practice Phone: 423-877-9516
Practice Fax: 423-877-9459

1255606885 — S D KHAN MD PA
Practice Location Address:

17070 RED OAK DR. , SUITE 503
HOUSTON, TX
77090-2715

Practice Phone: 281-444-2399
Practice Fax: 281-444-3417

1063961001 — MR. ERNESTO VASQUEZ CERDINA
Practice Location Address:

2715 RED LION CT
SAN ANTONIO, TX
78259-2757

Practice Phone: 361-510-1760
Practice Fax:

Directions to “ JENNIFER SUZANNE KIRK RPH” 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 © 2007-2026 (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.