Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164737011 Deactivated / Inactive NPI Male Practitioner

Kenneth Wayne Flippo , RPH

Pharmacist • Jackson, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Flippo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2010
NPI Deactivation Date March 14, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

Kenneth Flippo, RPH was a registered Pharmacist practicing in Jackson, TN. Throughout an active medical career spanning 8 years, Kenneth Flippo provided care at the practice location at 1334 N HIGHLAND AVE until profile deactivation on 2018-03-14.

Practice Location & Contact Primary Location

Practice Address

1334 N Highland Ave

Jackson, TN 383014019

Telephone 7314274992
Fax 7314272456
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1184639288

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
122 Specialists

Practicing in Jackson, TN (7476 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TN 4099

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1093631194
Andrea Beatty

Pharmacist

NPI 1184346058
NPI 1275213134

Doctor of Pharmacy (Pharm.D.)

NPI 1306711577

Doctor of Pharmacy (Pharm.D.)

NPI 1457663411

Doctor of Pharmacy (Pharm.D.)

NPI 1487267191

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 14, 2018

Record deactivated on March 14, 2018

NPI Profile Active August 17, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2010

Registered at 1334 N HIGHLAND AVE, JACKSON, TN 383014019 (Tel: 7314274992)

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Updated Business Mailing Address August 17, 2010

Registered at 1334 N HIGHLAND AVE, JACKSON, TN 383014019 (Tel: 7314274992)

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Provider Name / Credentials Updated August 17, 2010

Recorded as KENNETH FLIPPO, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2010

Pharmacist (License #4099 in TN)

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Initial NPI Registration & Enumeration August 16, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164737011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2010
Last Update: August 17, 2010
Deactivation Date: March 14, 2018

Mailing Address

1334 N Highland Ave

Jackson, TN 383014019

Phone: 7314274992

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.