Individual provider Active NPI

Cynthia Kay Bullington Fisher, DPH.

  • Pharmacist
  • Greeneville, TN
National Provider Identifier
1659395804
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5582 Issued in TN
Practice address
239 W Summer St
Greeneville, TN 37743-4925
Phone
(423) 638-4711
Fax
(423) 638-3311
NPI assigned
Jul 27, 2006
Last updated
Aug 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5582 TN Primary

Addresses

Primary practice location

239 W Summer St
Greeneville, TN 37743-4925

Mailing address

50 Summer Hill LN
Greeneville, TN 37745-3790
Phone (423) 658-5434

Other identifiers 1

IdentifierTypeStateIssuer
1454403MedicaidTN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5582TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Drug Store PLLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

239 W Summer St
Greeneville, TN 37743
Phone (423) 638-4711

Organizations & group practices 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1659395804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SUMMER HILL LN",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453790",
            "telephone_number": "423-658-5434",
            "fax_number": "423-638-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W SUMMER ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434925",
            "telephone_number": "423-638-4711",
            "fax_number": "423-638-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CYNTHIA KAY",
        "middle_name": "BULLINGTON",
        "name_prefix": "Dr.",
        "credential": "DPH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "5582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454403",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.