Active NPI
Charles Wayne Cherry Jr., DPH.
- Pharmacist
- Jackson, TN
National Provider Identifier
1043543341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5336
- Practice address
- 732 Old Hickory Blvd
Jackson, TN 38305-2440 - Phone
- (731) 668-3929
- Fax
- (731) 668-0225
- NPI assigned
- Sep 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5336 | TN | Primary |
Addresses
Primary practice location
732 Old Hickory Blvd
Jackson, TN 38305-2440
Mailing address
1332 N Highland Ave
Jackson, TN 38301-4019
Phone (731) 427-4992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5336 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1043543341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 N HIGHLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383014019",
"telephone_number": "731-427-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 OLD HICKORY BLVD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052440",
"telephone_number": "731-668-3929",
"fax_number": "731-668-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "CHARLES",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "5336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.