Individual provider Active NPI

Andrew Charles White, PHARMD.

  • Pharmacist
  • Johnson City, TN
National Provider Identifier
1497182901
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
38758 Issued in TN
Practice address
3060 Franklin Ter
Johnson City, TN 37604-4123
Phone
(423) 282-2124
Fax
(423) 282-2285
NPI assigned
Sep 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23452 NC
Pharmacist 183500000X 38758 TN Primary

Addresses

Primary practice location

3060 Franklin Ter
Johnson City, TN 37604-4123

Mailing address

3060 Franklin Ter
Johnson City, TN 37604-4123
Phone (423) 282-2124

Other practice location 1

425 W State St
Black Mountain, NC 28711-3344
Phone (828) 669-2992

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

LicenseStateTypeSpecialty
23452NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1497182901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 FRANKLIN TER",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044123",
            "telephone_number": "423-282-2124",
            "fax_number": "423-282-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 FRANKLIN TER",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044123",
            "telephone_number": "423-282-2124",
            "fax_number": "423-282-2285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 W State St",
            "address_purpose": "LOCATION",
            "city": "Black Mountain",
            "state": "NC",
            "postal_code": "287113344",
            "country_code": "US",
            "telephone_number": "828-669-2992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-28",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23452",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "38758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.