Individual provider Active NPI

James Wyatt Denzler, RPH

  • Pharmacist
  • Oneida, TN
National Provider Identifier
1205035185
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000022989 Issued in TN
Practice address
19856 Alberta St
Oneida, TN 37841
Phone
(423) 569-4555
Fax
(423) 569-4555
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0000022989 TN Primary

Addresses

Primary practice location

19856 Alberta St
Oneida, TN 37841

Mailing address

19856 Alberta St
PO Box 4597
Oneida, TN 37841
Phone (423) 569-4555

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

LicenseStateTypeSpecialty
0000022989TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1205035185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19856 ALBERTA ST",
            "address_2": "PO BOX 4597",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "37841",
            "telephone_number": "423-569-4555",
            "fax_number": "423-569-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19856 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "37841",
            "telephone_number": "423-569-4555",
            "fax_number": "423-569-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENZLER",
        "first_name": "JAMES",
        "middle_name": "WYATT",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000022989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.