NPIMap

Organization Active NPI

Sullivan County Health Department Pharmacy

  • Public Health or Welfare Agency
  • Blountville, TN
National Provider Identifier
1801082664
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SULLIVAN COUNTY HEALTH DEPARTMENT PHARMACY
Practice address
154 Blountville Byp
Blountville, TN 37617-4575
Phone
(423) 279-2777
Fax
(423) 279-2797
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Mr. Gary Mayes
Title
Regional Director
Phone
(423) 279-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

154 Blountville Byp
Blountville, TN 37617-4575

Mailing address

PO Box 630
Blountville, TN 37617-0630
Phone (423) 279-2777

National Provider Directory

National Provider Directory
Tax ID family
Sullivan County EMS7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1801082664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376170630",
            "telephone_number": "423-279-2777",
            "fax_number": "423-279-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BLOUNTVILLE BYP",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376174575",
            "telephone_number": "423-279-2777",
            "fax_number": "423-279-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNTY HEALTH DEPARTMENT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "423-279-2777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.