Individual provider Active NPI

Joseph Dylan Stokes

  • Pharmacist
  • Mount Juliet, TN
National Provider Identifier
1225666282
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43846 Issued in TN
Practice address
11185 Lebanon Rd
Mount Juliet, TN 37122-5542
Phone
(615) 773-4034
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29406 NC
Pharmacist 183500000X 43846 TN Primary

Addresses

Primary practice location

11185 Lebanon Rd
Mount Juliet, TN 37122-5542

Mailing address

9402 Raven Hollow Rd
Brentwood, TN 37027-8604
Phone (615) 598-1279

Other practice location 1

915 Merrimon Ave
Asheville, NC 28804-2304
Phone (828) 255-8949

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

LicenseStateTypeSpecialty
29406NCMDPharmacist
43846TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Nov 15, 2020 Accepting new patients
Ingles Markets Inc PastSince Mar 1, 2020 Accepting new patients
Ingles Markets Inc PastSince Mar 1, 2020 Accepting new patients
Walgreen Co PastSince Nov 15, 2020 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1225666282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 RAVEN HOLLOW RD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278604",
            "telephone_number": "615-598-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11185 LEBANON RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225542",
            "telephone_number": "615-773-4034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Merrimon Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288042304",
            "country_code": "US",
            "telephone_number": "828-255-8949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES",
        "first_name": "JOSEPH",
        "middle_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29406",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "43846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.