Individual provider Active NPI

Michael Yarworth

  • Pharmacotherapy Pharmacist
  • Tracy City, TN
National Provider Identifier
1336219302
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
4334 Issued in TN
Practice address
740 Main St
Tracy City, TN 37387-4020
Phone
(931) 592-9190
Fax
(931) 592-9203
NPI assigned
Nov 8, 2006
Last updated
May 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 4334 TN Primary

Addresses

Primary practice location

740 Main St
Tracy City, TN 37387-4020

Mailing address

740 Main St
Tracy City, TN 37387-4020
Phone (931) 592-9190

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

State licenses

LicenseStateTypeSpecialty
4334TNMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grundy County Health Services, Inc. CurrentSince Dec 1, 2022 Accepting new patients

Locations

740 Main St
Tracy City, TN 37387
Phone (931) 592-4242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1336219302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MAIN ST",
            "city": "TRACY CITY",
            "state": "TN",
            "postal_code": "373874020",
            "telephone_number": "931-592-9190",
            "fax_number": "931-592-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MAIN ST",
            "city": "TRACY CITY",
            "state": "TN",
            "postal_code": "373874020",
            "telephone_number": "931-592-9190",
            "fax_number": "931-592-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARWORTH",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TN",
            "license": "4334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.