Charles Joseph Vaughn III, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

48311 Issued in TN

Practice address

346 W Central Ave
Jamestown, TN 38556-3407

Phone

(931) 879-8133

NPI assigned

Nov 19, 2024

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Buchheit Drug Corporation

  • Long Term Care Pharmacy
  • Jamestown, TN
  • NPI 1730714585
  NPD
• Buchheit Drug Corporation

  • Pharmacy
  • Jamestown, TN
  • NPI 1184629362
  NPD (past)

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1659196178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385560610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 W CENTRAL AVE",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563407",
            "telephone_number": "931-879-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "48311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Daniel Thompson, MD
• Timothy Horsky
• Uhs Primary Care LLC
• University Health System, Inc
• University Health System, Inc.
• Rayella Jo Vaughn, PHARM.D.
• Volunteer Staffing, Inc
• Katherine F O Wagers, PHARMD
• Wal-Mart Stores East LP
• Walgreen Co.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jamestown, TN
• Providers in Jamestown, TN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.