Active NPI
Total Health
- Pharmacist
- Knoxville, TN
National Provider Identifier
1104900612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000004232
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1454330 | Medicaid | TN |
National Provider Directory
National Provider Directory- Tax ID family
- Gordon Drug Company Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1053405092
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.
-
- Pharmacist
- Knoxville, TN
- NPI 1588474811
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.