Bunch Medical LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00005720 Issued in TN

Legal business name

BUNCH MEDICAL LLC

Practice address

1467 W Morris Blvd
Morristown, TN 37813-2828

Phone

(423) 289-1111

Fax

(423) 289-1121

NPI assigned

Jan 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John M Jones, PHARM D

Title

Part Owner

Phone

(423) 258-9979

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• M.D. Pharmacy Store 2 Doing business as

Tax ID family

Bunch Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bunch Medical LLC

  • Long Term Care Pharmacy
  • Morristown, TN
  • NPI 1093271561
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Kickliter, PHARM.D.

  • Pharmacist
  • Newport, TN
  • NPI 1225368525
  NPD

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1710344908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E BROADWAY BLVD STE B",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604949",
            "telephone_number": "865-262-9777",
            "fax_number": "865-262-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132828",
            "telephone_number": "423-289-1111",
            "fax_number": "423-289-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNCH MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "423-258-9979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "00005720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY STATE LICENSE NUMBER",
            "identifier": "00005720",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.D. Pharmacy Store 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Ruth Buel
• Mary E Bukovitz, MD
• James Lynn Bull
• Kadron Bullington, B.S.
• Bunch Medical LLC
• Jana Gordon Bunsic, DO
• Brandie Burchfield, B.S.
• Lynda Burke, MASTERS CLINICIAN
• Bonnie A Burnette-Vick, MD
• Christopher D. Burns, MS

• Community/Retail Pharmacy in Morristown, TN
• Providers in Morristown, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.