Active NPI
Brad Alan Phelps, RPH
- Pharmacist
- Johnson City, TN
National Provider Identifier
1255356366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7774
- Practice address
- 4210 N Roan St
Johnson City, TN 37601-1130 - Phone
- (423) 262-0201
- Fax
- (423) 262-0380
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- 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 | 7774 | TN | Primary |
Addresses
Primary practice location
4210 N Roan St
Johnson City, TN 37601-1130
Mailing address
4210 N Roan St
Johnson City, TN 37601-1130
Phone (423) 262-0201
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 |
|---|---|---|---|
| 7774 | TN | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | 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.
-
- Pharmacy
- Johnson City, TN
- NPI 1912131095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1255356366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 N ROAN ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011130",
"telephone_number": "423-262-0201",
"fax_number": "423-262-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 N ROAN ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011130",
"telephone_number": "423-262-0201",
"fax_number": "423-262-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "BRAD",
"middle_name": "ALAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "7774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.