NPIMap

Organization Active NPI

Jeffco Drugcenter in Dandridge, Inc.

  • Community/Retail Pharmacy
  • Dandridge, TN
National Provider Identifier
1184785362
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JEFFCO DRUGCENTER IN DANDRIDGE, INC.
Practice address
127 W. Meeting St
Dandridge, TN 37725
Phone
(865) 397-2868
Fax
(865) 397-5100
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Dr. Charlie Southerland, PHARM.D.NPI 1982748034
Title
Pic
Phone
(865) 397-2868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 8733 TN
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

127 W. Meeting St
Dandridge, TN 37725

Mailing address

PO Box 1191
Dandridge, TN 37725-1191
Phone (865) 397-2868

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1184785362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1191",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377251191",
            "telephone_number": "865-397-2868",
            "fax_number": "865-397-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W. MEETING ST",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "37725",
            "telephone_number": "865-397-2868",
            "fax_number": "865-397-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFCO DRUGCENTER IN DANDRIDGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "865-397-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "8733",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dandridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.