Jeremy G York, PHARMD
Individual provider Active NPI Pharmacist · South Pittsburg, TN
NPI 1285706465 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285706465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11819 (TN)
- Practice address
- 335 S Cedar Ave
South Pittsburg, TN 37380-1305 - Phone
- (423) 837-6855
- Fax
- (423) 837-1420
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11819 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHL Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11819 | TN | Yes |
Addresses
Primary practice location
335 S Cedar Ave
South Pittsburg, TN 37380-1305
Mailing address
335 S Cedar Ave
South Pittsburg, TN 37380-1305
Phone (423) 837-6855
Other providers in South Pittsburg, TN
- Thera Sumner Thomason
- Roy E. Treiyer
- Vital Path Medical Group LLC
- Haley Walton
- Wildflower Therapy Services, LLC
- Martha E Ziegler
All providers in South Pittsburg, TN · Pharmacist in Tennessee
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.