Active NPI
Jessica L Patrone, PHARM.D.
- Pharmacist
- Johnson City, TN
National Provider Identifier
1356474605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS35763
- Practice address
- 527 N State of Franklin Rd
Johnson City, TN 37604-8210 - Phone
- (423) 975-0597
- Fax
- (423) 975-6304
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 024053 | KY | |
| Pharmacist | 183500000X | 783135 | OH | |
| Pharmacist | 183500000X | 28627 | NC | |
| Pharmacist | 183500000X | 36588 | TN | |
| Pharmacist | 183500000X | PS35763 | FL | Primary |
Addresses
Primary practice location
527 N State of Franklin Rd
Johnson City, TN 37604-8210
Mailing address
309 Jim Ford Rd
Jonesborough, TN 37659-3133
Phone (239) 851-7317
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 783135 | Other | OH | STATE LICENSE NUMBER |
| 024053 | Other | KY | STATE LICENSE NUMBER |
| 36588 | Other | TN | STATE LICENSE NUMBER |
| PS35763 | Other | FL | STATE LICENSE NUMBER |
| 28627 | Other | NC | STATE LICENSE NUMBER |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS35763 | FL | MD | Pharmacist |
| 024053 | KY | MD | Pharmacist |
| 28627 | NC | MD | Pharmacist |
| 783135 | OH | MD | Pharmacist |
| 36588 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procompounding | Current | Accepting new patients |
Locations
527 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 926-3338
Organizations & group practices 1
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": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1356474605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 JIM FORD RD",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376593133",
"telephone_number": "239-851-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 N STATE OF FRANKLIN RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048210",
"telephone_number": "423-975-0597",
"fax_number": "423-975-6304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRONE",
"first_name": "JESSICA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "024053",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "783135",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28627",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "36588",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "783135",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "024053",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "36588",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PS35763",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "28627",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.