Active NPI
Jeffrey Alan Gray, PHARMD
- Pharmacotherapy Pharmacist
- Johnson City, TN
National Provider Identifier
1275792590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 33808
- Practice address
- 303 Woodbriar Dr
Johnson City, TN 37604-1165 - Phone
- (859) 351-1897
- Fax
- (423) 439-6782
- NPI assigned
- Jun 2, 2008
- Last updated
- Dec 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 33808 | TN | Primary |
Addresses
Primary practice location
303 Woodbriar Dr
Johnson City, TN 37604-1165
Mailing address
303 Woodbriar Dr
Johnson City, TN 37604-1165
Phone (859) 351-1897
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33808 | TN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1275792590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 WOODBRIAR DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041165",
"telephone_number": "859-351-1897",
"fax_number": "423-439-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 WOODBRIAR DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041165",
"telephone_number": "859-351-1897",
"fax_number": "423-439-6782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-02",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TN",
"license": "33808",
"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 Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.