Jeffrey Alan Pettis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

21927 Issued in TN

Practice address

250 Middle Creek Rd
Sevierville, TN 37862-3944

Phone

(865) 453-5160

Fax

(865) 453-1946

NPI assigned

Feb 2, 2007

Last updated

Sep 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smoky Mountain Home Infusion Inc

  dba Smoky Mountain Home Infusion

  • Home Infusion Therapy Pharmacy
  • Sevierville, TN
  • NPI 1033376389
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1144368218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ASA ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378762912",
            "telephone_number": "865-429-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MIDDLE CREEK RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623944",
            "telephone_number": "865-453-5160",
            "fax_number": "865-453-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIS",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "21927",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "22065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Therapy Associates LLC
• Candy D Pelham
• Rhonda McDuffie Pemberton, LCSW
• Austin Sue Ann Pershing
• Emily Morgan Pettis, PHARMD
• Maleah Phillips
• Christina Ann Pickens, M.A.
• Pippin Dental Care
• William H Pippin Jr., DDS
• Debbie Pitner, NA

• Pharmacist in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.