Joey G Prichard, DPH
Individual provider Active NPI Pharmacist · Greeneville, TN
NPI 1770517856 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770517856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4065 (TN)
- Practice address
- 810 West Church St
Northeast Regional Pharmacy East Regional Pharmacy
Greeneville, TN 37745-0159 - Phone
- (423) 798-1749
- Fax
- (423) 798-1755
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4065 | TN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4065 | TN | Yes |
Addresses
Primary practice location
810 West Church St
Northeast Regional Pharmacy East Regional Pharmacy
Greeneville, TN 37745-0159
Mailing address
2456 Buckingham Rd
Greeneville, TN 37745
Phone (423) 638-2722
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.