Active NPI
Lindsay Deanne Vance, PHARM. D
- Pharmacist
- Johnson City, TN
National Provider Identifier
1043766934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202214994
- Practice address
- 2403 Browns Mill Rd
Apartment 15
Johnson City, TN 37604-1972 - Phone
- (276) 274-8137
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 0202214994 | VA | Primary |
Addresses
Primary practice location
2403 Browns Mill Rd
Apartment 15
Johnson City, TN 37604-1972
Mailing address
2403 Browns Mill Road
Apartment 15
Johnsoncity, TN 37604
Phone (276) 274-8137
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202214994 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1043766934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 BROWNS MILL ROAD",
"address_2": "APARTMENT 15",
"city": "JOHNSONCITY",
"state": "TN",
"postal_code": "37604",
"telephone_number": "276-274-8137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 BROWNS MILL RD",
"address_2": "APARTMENT 15",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041972",
"telephone_number": "276-274-8137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "LINDSAY",
"middle_name": "DEANNE",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202214994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.