Christy Lyons, DPH
Individual provider Active NPI Pharmacist · Church Hill, TN
NPI 1255465860 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255465860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9129 (TN)
- Practice address
- 731 Highway 11W
Church Hill, TN 37642 - Phone
- (423) 357-0493
- Fax
- (423) 357-0503
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K-VA-T Food Stores Inc | Past | Accepting new patients | |
| K VA T Food Stores Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9129 | TN | Yes |
Addresses
Primary practice location
731 Highway 11W
Church Hill, TN 37642
Mailing address
1049 Rotherwood Dr
Kingsport, TN 37660-7260
Other providers in Church Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.