Christine Susan Corsberg, PHARMD., BCPS

Primary specialty

PharmacistTaxonomy code 183500000X

License

21861 Issued in TN

Practice address

1805 W State of Franklin Rd
Dept of Pharmacy
Johnson City, TN 37604-8801

Phone

(423) 631-1230

NPI assigned

Jan 25, 2006

Last updated

Nov 29, 2010By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1689644312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 OLIVER EDWARDS RD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376596538",
            "telephone_number": "423-631-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W STATE OF FRANKLIN RD",
            "address_2": "DEPT OF PHARMACY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048801",
            "telephone_number": "423-631-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSBERG",
        "first_name": "CHRISTINE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD., BCPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "21861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.