Jonathan Schmidt
Individual provider Active NPI Pharmacist · Wartburg, TN
NPI 1205211703 · NPPES record last updated Jul 25, 2015
Key facts
- NPI
- 1205211703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 39277 (TN)
- Practice address
- 926 Main St
Wartburg, TN 37887-4199 - Phone
- (423) 346-3505
- NPI assigned
- Jul 25, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39277 | TN | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 39277 | TN | Yes |
Addresses
Primary practice location
926 Main St
Wartburg, TN 37887-4199
Mailing address
926 Main St
Wartburg, TN 37887-4199
Other providers in Wartburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2015. 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.