Active NPI
Jeffrey Wayne Perry, PHARM.D.
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1750728291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-11746
- Practice address
- 5707 Queen Aire LN
Chattanooga, TN 37415-7024 - Phone
- (601) 212-7048
- NPI assigned
- May 23, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 38066 | TN | |
| Pharmacist | 183500000X | E-11746 | MS | Primary |
Addresses
Primary practice location
5707 Queen Aire LN
Chattanooga, TN 37415-7024
Mailing address
5707 Queen Aire LN
Chattanooga, TN 37415-7024
Phone (601) 212-7048
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 |
|---|---|---|---|
| E-11746 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Pharmacy, Inc | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Benton, TN
- NPI 1598825226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1750728291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 QUEEN AIRE LN",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374157024",
"telephone_number": "601-212-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 QUEEN AIRE LN",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374157024",
"telephone_number": "601-212-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JEFFREY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-23",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "38066",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-11746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.