Active NPI
Colleen Wynn McCoy, PHARMD
- Pharmacist
- Etowah, TN
National Provider Identifier
1134419393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12240
- Practice address
- 856 Highway 411 N
Etowah, TN 37331-1912 - Phone
- (423) 263-5656
- NPI assigned
- Apr 8, 2011
- Sex
- Female
- 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 | 12240 | TN | Primary |
Addresses
Primary practice location
856 Highway 411 N
Etowah, TN 37331-1912
Mailing address
6239 N Trigonia Rd
Greenback, TN 37742-2016
Phone (865) 856-6313
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12240 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1134419393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6239 N TRIGONIA RD",
"city": "GREENBACK",
"state": "TN",
"postal_code": "377422016",
"telephone_number": "865-856-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "856 HIGHWAY 411 N",
"city": "ETOWAH",
"state": "TN",
"postal_code": "373311912",
"telephone_number": "423-263-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "COLLEEN",
"middle_name": "WYNN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "12240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Etowah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.