Active NPI
Jan Showalter Medeiros, RPH
- Pharmacist
- Bristol, TN
National Provider Identifier
1194717785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202009118
- Practice address
- 1 Medical Park Blvd
Suite 106E
Bristol, TN 37620-7430 - Phone
- (423) 844-2888
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 0202009118 | VA | Primary |
Addresses
Primary practice location
1 Medical Park Blvd
Suite 106E
Bristol, TN 37620-7430
Mailing address
16447 Old Timber Rd
Abingdon, VA 24210-4891
Phone (276) 623-0801
Other names 1
- Janice Ann Showalter
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202009118 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194717785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16447 OLD TIMBER RD",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242104891",
"telephone_number": "276-623-0801",
"fax_number": "276-623-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD",
"address_2": "SUITE 106E",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207430",
"telephone_number": "423-844-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEIROS",
"first_name": "JAN",
"middle_name": "SHOWALTER",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202009118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "SHOWALTER",
"middle_name": "ANN",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bristol, TN
- Tameria McRath
- Roger J McSharry, MD
- Timothy Malcolm Mead
- Michelle M Meade, NP
- Med One of Tennessee PC
- Medexpress Urgent Care, PC - Tennessee
- Medical Education Assistance Corporation
- Medical Education Assistance Corporation (University Physicians Practice Group-Etsu Family Medicine Bristol)
- Medical Mall Pharmacy Inc (Medical Mall Pharmacy)
- Mark Steven Mehlferber, PAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.