Active NPI
Mandy Dishner, PHARM.D.
- Pharmacist
- Gray, TN
National Provider Identifier
1497066609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022593
- Practice address
- 5104 Bobby Hicks Hwy
Gray, TN 37615-6217 - Phone
- (423) 477-3372
- Fax
- (423) 477-8533
- NPI assigned
- Jun 23, 2010
- Last updated
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30853 | TN | |
| Pharmacist | 183500000X | RPH022593 | GA | Primary |
Addresses
Primary practice location
5104 Bobby Hicks Hwy
Gray, TN 37615-6217
Mailing address
5104 Bobby Hicks Hwy
Gray, TN 37615-6217
Phone (423) 477-3372
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH022593 | GA | MD | Pharmacist |
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": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1497066609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5104 BOBBY HICKS HWY",
"city": "GRAY",
"state": "TN",
"postal_code": "376156217",
"telephone_number": "423-477-3372",
"fax_number": "423-477-8533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 BOBBY HICKS HWY",
"city": "GRAY",
"state": "TN",
"postal_code": "376156217",
"telephone_number": "423-477-3372",
"fax_number": "423-477-8533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISHNER",
"first_name": "MANDY",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "30853",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gray, TN
- Stephen P Combs, MD
- Confidential Counseling Solutions LLC
- Kathryn Contel, PT, DPT
- William Joseph Cote, FNP
- Melanie Dawn Davis
- John Elwood Douglas, M.D.
- East Tennessee Healthcare Holdings Inc (Overmountain Recovery)
- East Tennessee State University (Daniel Boone High School Based Clinic)
- East Tennessee State University (Community Care Wellness Center)
- Farmers Delight LLC (Skin Rx and Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.