Active NPI
Michael Wade Hardin, PHARM.D.
- Pharmacist
- Harriman, TN
National Provider Identifier
1710911052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26663
- Practice address
- 319 N Roane St
Harriman, TN 37748-2022 - Phone
- (865) 882-2421
- Fax
- (865) 882-2923
- NPI assigned
- Jul 11, 2006
- Last updated
- May 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26663 | TN | Primary |
Addresses
Primary practice location
319 N Roane St
Harriman, TN 37748-2022
Mailing address
427 High St
Kingston, TN 37763-4686
Phone (865) 882-2421
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26663 | TN | MD | Acute Care Nurse Practitioner |
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.
-
dba Chase Drugs & Clinical Services
- Community/Retail Pharmacy
- Harriman, TN
- NPI 1215375357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1710911052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 HIGH ST",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377634686",
"telephone_number": "865-882-2421",
"fax_number": "865-882-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 N ROANE ST",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377482022",
"telephone_number": "865-882-2421",
"fax_number": "865-882-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIN",
"first_name": "MICHAEL",
"middle_name": "WADE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "26663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.