Active NPI
Roger Harrison, PHARMACIST
- Pharmacist
- Decatur, TN
National Provider Identifier
1457475683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5021
- Practice address
- 17619 Hwy 58 N
Decatur, TN 37322 - Phone
- (423) 334-5223
- Fax
- (423) 334-9732
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 5021 | TN | Primary |
Addresses
Primary practice location
17619 Hwy 58 N
Decatur, TN 37322
Mailing address
PO Box 5
Madisonville, TN 37354-0005
Phone (423) 334-5223
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5021 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Will Sav Inc | Current | Accepting new patients | |
| Decatur Drugs, LLC | Current | Accepting new patients |
Locations
17619 State Highway 58 N
Decatur, TN 37322
Phone (423) 334-2300
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": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457475683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373540005",
"telephone_number": "423-334-5223",
"fax_number": "423-334-9732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17619 HWY 58 N",
"city": "DECATUR",
"state": "TN",
"postal_code": "37322",
"telephone_number": "423-334-5223",
"fax_number": "423-334-9732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "ROGER",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "5021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.