NPIMap

Organization Active NPI

State of Tennessee

Doing business as East Tennessee Region Pharmacy

  • Clinic Pharmacy
  • Greeneville, TN
National Provider Identifier
1295949972
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
STATE OF TENNESSEE
Doing business as
East Tennessee Region Pharmacy
Practice address
810 W Church St
Greeneville, TN 37745-3285
Phone
(423) 798-1749
Fax
(423) 798-1755
NPI assigned
May 10, 2007
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marianne Faneuil Sharp
Title
Regional Accountant
Phone
(865) 549-5266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

810 W Church St
Greeneville, TN 37745-3285

Mailing address

1522 Cherokee TRL
Knoxville, TN 37920-2205
Phone (865) 546-5266

Other names 1

  • East Tennessee Region Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kingsport Health Center202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1295949972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 CHEROKEE TRL",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202205",
            "telephone_number": "865-546-5266",
            "fax_number": "865-594-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W CHURCH ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453285",
            "telephone_number": "423-798-1749",
            "fax_number": "423-798-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "FANEUIL",
        "authorized_official_title_or_position": "REGIONAL ACCOUNTANT",
        "authorized_official_telephone_number": "865-549-5266"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Tennessee Region Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.