Timothy Augustine
Individual provider Active NPI Pharmacist · Athens, TN
NPI 1184095036 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1184095036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10202 (TN)
- Practice address
- 928 Decatur Pike
Athens, TN 37303-3038 - Phone
- (423) 745-5420
- Fax
- (401) 770-7108
- NPI assigned
- Oct 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10202 | TN | Yes |
Addresses
Primary practice location
928 Decatur Pike
Athens, TN 37303-3038
Mailing address
928 Decatur Pike
Athens, TN 37303-3038
Phone (423) 745-5420
Other practice location 1
2900 Paul Huff Pkwy NW
Cleveland, TN 37312-3076
Phone (423) 472-1822
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10202 | Other | TN | STATE PHARMACY LICENSE |
| RPH031143 | Other | GA | STATE PHARMACIST LICENSE |
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.