John Mancell, PHARM D
Individual provider Active NPI Pharmacist · Tiptonville, TN
NPI 1356893044 · NPPES record last updated Aug 31, 2018
Key facts
- NPI
- 1356893044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 33096 (TN)
- Practice address
- 650 Carl Perkins Pkwy
Tiptonville, TN 38079 - Phone
- (731) 253-0153
- Fax
- (731) 253-0143
- NPI assigned
- Oct 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33096 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiptonville Family Pharmacy | Current | Accepting new patients |
Locations
650 Carl Perkins Pkwy
Tiptonville, TN 38079
Phone (731) 253-0153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33096 | TN | Yes |
Addresses
Primary practice location
650 Carl Perkins Pkwy
Tiptonville, TN 38079
Mailing address
650 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Phone (731) 253-0153
Other providers in Tiptonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2018. 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.