Christopher Alvin Patterson, PHARMD

Individual provider Active NPI Pharmacist · Copperhill, TN

NPI 1104026087 · NPPES record last updated Mar 7, 2025

Key facts

NPI
1104026087
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
9761 (TN)
Practice address
116 Ocoee St
Copperhill, TN 37317-4071
Phone
(423) 496-5241
Fax
(423) 496-5240
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

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

LicenseStateTypeSpecialty
9761TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
R & K Pharmacy Inc. Current
since Mar 11, 2025
Accepting new patients
Preferred Pharmacy, Inc Past Accepting new patients
R & K Pharmacy Inc. Pharmacist Past
since Mar 11, 2025
Accepting new patients

Locations

116 Ocoee St
Copperhill, TN 37317
Phone (423) 496-5241

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9761 TN Yes

Addresses

Primary practice location

116 Ocoee St
Copperhill, TN 37317-4071

Mailing address

PO Box 269
Benton, TN 37307-0269
Phone (423) 338-5095

Other practice location 1

6206 Hwy 411
Benton, TN 37307
Phone (423) 338-5095

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2025.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1104026087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373070269",
            "telephone_number": "423-338-5095",
            "fax_number": "423-338-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 OCOEE ST",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373174071",
            "telephone_number": "423-496-5241",
            "fax_number": "423-496-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6206 Hwy 411",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "TN",
            "postal_code": "37307",
            "country_code": "US",
            "telephone_number": "423-338-5095",
            "fax_number": "423-338-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "9761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copperhill, TN

All providers in Copperhill, TN · Pharmacist in Tennessee

Sources for this page

Verify at the official NPI Registry.