Johnathan Norris, PHARM D
Individual provider Active NPI Pharmacist · Church Hill, TN
NPI 1003201047 · NPPES record last updated Apr 6, 2015
Key facts
- NPI
- 1003201047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 33680 (TN)
- Practice address
- 731 Highway 11 W
Church Hill, TN 37642-3146 - Phone
- (423) 357-0493
- NPI assigned
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33680 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K VA T Food Stores Inc | Past | Accepting new patients | |
| K-VA-T Food Stores Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33680 | TN | Yes |
Addresses
Primary practice location
731 Highway 11 W
Church Hill, TN 37642-3146
Mailing address
20230 Avondale Rd
Abingdon, VA 24211-6942
Phone (276) 628-9906
Other providers in Church Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.