Active NPI
Thomas Edward Bissell, RPH
- Community/Retail Pharmacy
- Strawberry Plains, TN
National Provider Identifier
1740299304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1841
- Practice address
- 524 Andrew Johnson Hwy
Strawberry Plains, TN 37871-1015 - Phone
- (865) 933-4149
- Fax
- (865) 933-4037
- NPI assigned
- Aug 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 1841 | TN | Primary |
Addresses
Primary practice location
524 Andrew Johnson Hwy
Strawberry Plains, TN 37871-1015
Mailing address
508 Union Ave
Knoxville, TN 37902-2110
Phone (865) 633-6630
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1841 | TN | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740299304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 UNION AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379022110",
"telephone_number": "865-633-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 ANDREW JOHNSON HWY",
"city": "STRAWBERRY PLAINS",
"state": "TN",
"postal_code": "378711015",
"telephone_number": "865-933-4149",
"fax_number": "865-933-4037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSELL",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "1841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Strawberry Plains, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.