State of Tennessee
Organization Active NPI Clinic Pharmacy · Greeneville, TN
NPI 1295949972 · NPPES record last updated Dec 14, 2007
Key facts
- NPI
- 1295949972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- Legal business name
- STATE OF TENNESSEE
- Practice address
- 810 W Church St
Greeneville, TN 37745-3285 - Phone
- (423) 798-1749
- Fax
- (423) 798-1755
- NPI assigned
- May 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Marianne Faneuil Sharp
- Title
- Regional Accountant
- Phone
- (865) 549-5266
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Trousdale County Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4440854 | Other | TN | NCPDP |
Other names
- East Tennessee Region Pharmacy
Other providers in Greeneville, TN
- Carla Ann Starnes
- Mattison Rogers Starnes
- State of Tennessee
- State of Tennessee
- State of Tennessee
- State of Tennessee
- State of Tennessee
- State of Tennessee
- State of Tennessee
- State of Tennessee
All providers in Greeneville, TN · Clinic Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 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.