Active NPI
Javan Crockett
- Pharmacist
- Morristown, TN
National Provider Identifier
1376019430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36606
- Practice address
- 1757 W Andrew Johnson Hwy
Morristown, TN 37814-3736 - Phone
- (423) 254-6604
- Fax
- (423) 254-6603
- NPI assigned
- Oct 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36606 | TN | Primary |
Addresses
Primary practice location
1757 W Andrew Johnson Hwy
Morristown, TN 37814-3736
Mailing address
1757 W Andrew Johnson Hwy
Morristown, TN 37814-3736
Phone (423) 254-6604
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1376019430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1757 W ANDREW JOHNSON HWY",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143736",
"telephone_number": "423-254-6604",
"fax_number": "423-254-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1757 W ANDREW JOHNSON HWY",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143736",
"telephone_number": "423-254-6604",
"fax_number": "423-254-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKETT",
"first_name": "JAVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "36606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, TN
- Valerie Crawford, M.A.
- William John Crawford, OD
- Crawley Integrative Marriage and Family Therapy, a Professional Corporation
- Joseph Creazzo Jr., DPM
- Cresent Medical, PLLC
- Kimberly Ann Cross
- James David Crossley, DDS, MS
- Crossroads Integrated Health Services, Inc.
- Crossroads Urgent Care, PLLC
- Regina Leann Crowder
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.