Michael Tyler Fergerson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

41195 Issued in TN

Practice address

951 N Broad St
Tazewell, TN 37879-4323

Phone

(865) 585-2697

NPI assigned

Jul 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Okies Clinical Services LLC

  • Family Medicine Physician
  • Blaine, TN
  • NPI 1063180750
  NPD (past)
• Okies Pharmacy II Inc

  dba Okie's Pharmacy II

  • Community/Retail Pharmacy
  • Blaine, TN
  • NPI 1932206877
  NPD (past)

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1346736535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 LEATHERWOOD HOLLOW RD",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "37825",
            "telephone_number": "865-585-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 N BROAD ST",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794323",
            "telephone_number": "865-585-2697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Rutledge Pike",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "TN",
            "postal_code": "377093027",
            "country_code": "US",
            "telephone_number": "865-932-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGERSON",
        "first_name": "MICHAEL",
        "middle_name": "TYLER",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "41195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emaline's Home Medical Equipment, LLC
• Jami D England, ARNP
• Joanna Minton England, B.S.
• Family Respiratory Services LLC
• Ronald JC Fejeran, DO
• Chelsea Rae Garvin, NP
• George Steven Malone, O.D.P.C.
• Janet Gilbert, SPEECH PATHOLOGIST
• Rosemary Kay Hall, DC
• Mackenzie Jade Hatfield, FNP

• Pharmacist in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.