Active NPI
Judi L Beard, DPH
- Pharmacist
- Greeneville, TN
National Provider Identifier
1194036806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7592
- Practice address
- 2755 E Andrew Johnson Hwy
Greeneville, TN 37745-0955 - Phone
- (423) 525-4221
- Fax
- (423) 525-4783
- NPI assigned
- Jun 28, 2010
- 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 | 7592 | TN | Primary |
Addresses
Primary practice location
2755 E Andrew Johnson Hwy
Greeneville, TN 37745-0955
Mailing address
130 Broyles Rd
Telford, TN 37690-2133
Phone (423) 502-8169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007592 | Other | TN | STATE PHARMACIST LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7592 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susong-Sydnor Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Greeneville, TN
- NPI 1790860088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607731200000",
"number": "1194036806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 BROYLES RD",
"city": "TELFORD",
"state": "TN",
"postal_code": "376902133",
"telephone_number": "423-502-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 E ANDREW JOHNSON HWY",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377450955",
"telephone_number": "423-525-4221",
"fax_number": "423-525-4783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "JUDI",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2020-12-12",
"certification_date": "2020-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "7592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "0007592",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.