Johnathan Dallas Boone, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

44431 Issued in TN

Practice address

1402 Tusculum Blvd
Greeneville, TN 37745-4279

Phone

(423) 588-5099

Fax

(423) 588-5935

NPI assigned

Jun 29, 2020

Last updated

Jun 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Community Pharmacy of Greeneville

  • Community/Retail Pharmacy
  • Greeneville, TN
  • NPI 1053719914
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1467079186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 UNIVERSITY PKWY APT 28E",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047355",
            "telephone_number": "828-674-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454279",
            "telephone_number": "423-588-5099",
            "fax_number": "423-588-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "JOHNATHAN",
        "middle_name": "DALLAS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "44431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Medical Management Corporation (DBA Applalachian Neurosurgical Clinic)
• Blue Ridge Medical Management Corporation (MSMG Cardiology Greeneville)
• Blue Ridge Medical Mangement Corporation (Ballad Health Medical Associates)
• Sylvia D. Boesch-Lewis, FNP-BC
• Debbie Ann Bolton, APN
• Courtney Larae Boren, OTR/L
• Kyle W Boren, DO
• Katie Lynne Styke Boslooper, PA
• Katelyn Bowman, LCSW
• Tonya Leeann Bowman, LPN

• Pharmacist in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.