Eric Lee Hitch, PHARMD
Individual provider Active NPI Pharmacist · Jasper, TN
NPI 1679836613 · NPPES record last updated Jun 22, 2012
Key facts
- NPI
- 1679836613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 36621 (TN)
- Practice address
- 1000 Highway 28
Jasper, TN 37347-3638 - Phone
- (615) 837-3470
- NPI assigned
- Jun 22, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36621 | TN | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36621 | TN | Yes |
Addresses
Primary practice location
1000 Highway 28
Jasper, TN 37347-3638
Mailing address
1000 Highway 28
Jasper, TN 37347-3638
Other providers in Jasper, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.