Active NPI
Katherine Medley
- Pharmacist
- Johnson City, TN
National Provider Identifier
1497586838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3061772
- Practice address
- 809 Lamont St # at
Johnson City, TN 37604-5453 - Phone
- (423) 926-1171
- NPI assigned
- Aug 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3061772 | ID | Primary |
Addresses
Primary practice location
809 Lamont St # at
Johnson City, TN 37604-5453
Mailing address
2175 Dave Buck Rd
Johnson City, TN 37601-7104
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3061772 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1497586838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 DAVE BUCK RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376017104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 LAMONT ST # AT",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376045453",
"telephone_number": "423-926-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLEY",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "3061772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
- Medical Education Assistance Corporation
- Medical Electro-Therapeutics Inc
- Medical Specialists of Johnson City
- Medicaleducationassistancecorporationdbauniversityphysicianspracticegr
- Jose Miguel Medina, CRNA
- Medsource Equipment LLC
- Rebecca Ann Meek, O.D.
- Benjamin Meeks, FNP
- John Michael Mefford, D.M.D.
- Ashok V Mehta, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.