Active NPI
Deborah Kay Cross, DOCTOR OF PHARMACY
- Pharmacist
- Johnson City, TN
National Provider Identifier
1114928389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- C3773
- Practice address
- 714 W Market Street
Hillcrest Drug
Johnson City, TN 37601 - Phone
- (423) 926-2422
- Fax
- (423) 926-0084
- NPI assigned
- Aug 9, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | C3773 | TN | Primary |
| Pharmacist | 183500000X | 0202009943 | VA |
Addresses
Primary practice location
714 W Market Street
Hillcrest Drug
Johnson City, TN 37601
Mailing address
714 W Market St
Hillcrest Drug
Johnson City, TN 37601
Phone (423) 926-2422
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 |
|---|---|---|---|
| C3773 | TN | MD | Pharmacist |
| 0202009943 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1114928389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 W MARKET ST",
"address_2": "HILLCREST DRUG",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37601",
"telephone_number": "423-926-2422",
"fax_number": "423-926-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 W MARKET STREET",
"address_2": "HILLCREST DRUG",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37601",
"telephone_number": "423-926-2422",
"fax_number": "423-926-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "DEBORAH",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "C3773",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202009943",
"primary": false
}
],
"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 Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.