Active NPI
Ray Eugene Brown, D.PH.
- Pharmacist
- Maryville, TN
National Provider Identifier
1073637963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2147
- Practice address
- 2135 E Broadway Ave
Maryville, TN 37804-3034 - Phone
- (865) 981-4338
- Fax
- (865) 981-4347
- NPI assigned
- Mar 18, 2007
- 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 | 2147 | TN | Primary |
Addresses
Primary practice location
2135 E Broadway Ave
Maryville, TN 37804-3034
Mailing address
1640 W Whitney Cir
Alcoa, TN 37701-1754
Phone (865) 983-1451
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 |
|---|---|---|---|
| 2147 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073637963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 W WHITNEY CIR",
"city": "ALCOA",
"state": "TN",
"postal_code": "377011754",
"telephone_number": "865-983-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 E BROADWAY AVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378043034",
"telephone_number": "865-981-4338",
"fax_number": "865-981-4347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "RAY",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "D.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "2147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.