Active NPI
Tom B Holbert, R.PH.
- Pharmacist
- Erwin, TN
National Provider Identifier
1487734778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000001386
- Practice address
- 1252 N Main Ave
Erwin, TN 37650-9122 - Phone
- (423) 743-5271
- NPI assigned
- Oct 17, 2006
- 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 | 0000001386 | TN | Primary |
Addresses
Primary practice location
1252 N Main Ave
Erwin, TN 37650-9122
Mailing address
2121 S Greenwood Dr
#707
Johnson City, TN 37604-7123
Phone (423) 483-6704
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 |
|---|---|---|---|
| 0000001386 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1487734778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 S GREENWOOD DR",
"address_2": "#707",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376047123",
"telephone_number": "423-483-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 N MAIN AVE",
"city": "ERWIN",
"state": "TN",
"postal_code": "376509122",
"telephone_number": "423-743-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBERT",
"first_name": "TOM",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000001386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erwin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.