P & S Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000000509 Issued in TN

Legal business name

P & S PHARMACY

Doing business as

P & S PHARMACY

Practice address

613 Watauga St
Kingsport, TN 37660-4429

Phone

(423) 246-8351

Fax

(423) 230-0832

NPI assigned

Aug 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lowell Grizzle

Title

Owner

Phone

(423) 246-8351

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• P & S PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1780695353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 WATAUGA ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604429",
            "telephone_number": "423-246-8351",
            "fax_number": "423-230-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WATAUGA ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604429",
            "telephone_number": "423-246-8351",
            "fax_number": "423-230-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "GRIZZLE",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-246-8351"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000000509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97010572383",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4404149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P & S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "P & S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Leigh Owen, LMFT
• Elaina Larray-Webb Owens, OD
• Elijah Owens
• Joe Howard Owens, D.P.M.
• Joshua Owens, NP
• Kendra Louise Pace, LMSW
• Nancy Pace, FNP
• Swetha Paduri, MD
• Pain MD LLC
• Resureccion Palileo

• Community/Retail Pharmacy in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.