Organization Active NPI

Total Health

  • Pharmacist
  • Knoxville, TN
National Provider Identifier
1104900612
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000004232 Issued in TN
Legal business name
TOTAL HEALTH
Practice address
7259 Oak Ridge Highway
Knoxville, TN 37931
Phone
(865) 691-8822
Fax
(865) 691-7653
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jerry Michael Gordon, DPH
Title
Owner
Phone
(865) 691-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 0000004232 TN Primary

Addresses

Primary practice location

7259 Oak Ridge Highway
Knoxville, TN 37931

Mailing address

7259 Oak Ridge Highway
Knoxville, TN 37931
Phone (865) 691-8822

Other identifiers 1

IdentifierTypeStateIssuer
1454330MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Gordon Drug Company Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7259 Oak Ridge Hwy
Knoxville, TN 37931
Phone (865) 691-8822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1104900612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7259 OAK RIDGE HIGHWAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37931",
            "telephone_number": "865-691-8822",
            "fax_number": "865-691-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7259 OAK RIDGE HIGHWAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37931",
            "telephone_number": "865-691-8822",
            "fax_number": "865-691-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-691-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000004232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454330",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.