Active NPI
R Douglas Mason, D.PH.
- Pharmacist
- Knoxville, TN
National Provider Identifier
1750880480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6120
- Practice address
- 10900 Parkside Dr
Knoxville, TN 37934-1958 - Phone
- (865) 777-5180
- Fax
- (865) 777-5186
- NPI assigned
- Feb 8, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6120 | TN | Primary |
Addresses
Primary practice location
10900 Parkside Dr
Knoxville, TN 37934-1958
Mailing address
930 Oak Chase Blvd
Lenoir City, TN 37772-6961
Phone (865) 659-9330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6120 | Other | TN | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6120 | TN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1750880480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 OAK CHASE BLVD",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377726961",
"telephone_number": "865-659-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 PARKSIDE DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341958",
"telephone_number": "865-777-5180",
"fax_number": "865-777-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "R",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "6120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6120",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.