Tara Mistell Douglas
Individual provider Active NPI Pharmacy Technician · Oneida, TN
NPI 1184153264 · NPPES record last updated Jun 12, 2017
Key facts
- NPI
- 1184153264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 19006 (TN)
- Practice address
- 279 Underpass Dr
Oneida, TN 37841-5885 - Phone
- (423) 569-7800
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| Marks Family Pharmacy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 19006 | TN | Yes |
Addresses
Primary practice location
279 Underpass Dr
Oneida, TN 37841-5885
Mailing address
749 Bart Grant Hollow Rd
Winfield, TN 37892-3664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19006 | Other | TN | STATE OF TENNESSE BOARD OF PHARMACY |
Other providers in Oneida, TN
- Tabitha K Day
- Wanda Ann Day
- James Wyatt Denzler
- Discover Health Care of Oneida, PLLC
- Amanda J Dougan
- DRS Coffey
- DRS Coffey Internal Medicine LLC
- Irene Duck
- Raelan Duncan
- Anthony Blake Dunlap
All providers in Oneida, TN · Pharmacy Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2017. 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.