Jonathan Bailey Barnett I
Individual provider Active NPI Pharmacist · Ooltewah, TN
NPI 1770869042 · NPPES record last updated Sep 2, 2022
Key facts
- NPI
- 1770869042
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 36061 (TN)
- Practice address
- 5032 Ooltewah Ringgold Rd
Ooltewah, TN 37363-7091 - Phone
- (423) 396-6963
- NPI assigned
- Oct 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 36061 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnetts Medplus LLC | Current |
Accepting new patients |
Locations
5032 Ooltewah Ringgold Rd
Ste 1
Ooltewah, TN 37363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36061 | TN | Yes |
Addresses
Primary practice location
5032 Ooltewah Ringgold Rd
Ooltewah, TN 37363-7091
Mailing address
9523 Thornberry Dr
Ooltewah, TN 37363-8208
Phone (423) 413-4519
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203121023 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | data | Direct | BFP INC |
Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2022. 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.