Active NPI
Warren Keith McIntosh, RPH
- Pharmacist
- Sparta, TN
National Provider Identifier
1457636805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9233
- Practice address
- 483 W Bockman Way
Sparta, TN 38583-1832 - Phone
- (931) 836-3230
- Fax
- (931) 836-3241
- NPI assigned
- Oct 17, 2011
- Last updated
- Oct 17, 2011
- 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 | 9233 | TN | Primary |
Addresses
Primary practice location
483 W Bockman Way
Sparta, TN 38583-1832
Mailing address
940 Franklin CT
Cookeville, TN 38506-6631
Phone (931) 432-0940
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9233 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1457636805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 FRANKLIN CT",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385066631",
"telephone_number": "931-432-0940",
"fax_number": "931-836-3241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 W BOCKMAN WAY",
"city": "SPARTA",
"state": "TN",
"postal_code": "385831832",
"telephone_number": "931-836-3230",
"fax_number": "931-836-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "WARREN",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.