Active NPI
Amy Herron Flippin, R.PH.
- Pharmacist
- Johnson City, TN
National Provider Identifier
1275741548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11987
- Practice address
- 125 Judge Gresham Rd
Johnson City, TN 37615-6213 - Phone
- (423) 467-0024
- Fax
- (423) 467-4215
- NPI assigned
- May 19, 2007
- Last updated
- Oct 28, 2008
- Sex
- Female
- 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 | 11987 | TN | Primary |
Addresses
Primary practice location
125 Judge Gresham Rd
Johnson City, TN 37615-6213
Mailing address
532 Church LN
Church Hill, TN 37642-3633
Phone (423) 357-6252
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 |
|---|---|---|---|
| 11987 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1275741548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 CHURCH LN",
"city": "CHURCH HILL",
"state": "TN",
"postal_code": "376423633",
"telephone_number": "423-357-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 JUDGE GRESHAM RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376156213",
"telephone_number": "423-467-0024",
"fax_number": "423-467-4215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLIPPIN",
"first_name": "AMY",
"middle_name": "HERRON",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "11987",
"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 Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.