Active NPI
Bruce Johnson Pate, DPH.
- Pharmacist
- Union City, TN
National Provider Identifier
1801170493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6107
- Practice address
- 700 E Reelfoot Ave
Union City, TN 38261-5804 - Phone
- (731) 884-1223
- Fax
- (731) 884-3859
- NPI assigned
- Sep 30, 2011
- Last updated
- Sep 30, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 6107 | TN | Primary |
Addresses
Primary practice location
700 E Reelfoot Ave
Union City, TN 38261-5804
Mailing address
700 E Reelfoot Ave
Union City, TN 38261-5804
Phone (731) 884-1223
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 |
|---|---|---|---|
| 6107 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1801170493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E REELFOOT AVE",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615804",
"telephone_number": "731-884-1223",
"fax_number": "731-884-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E REELFOOT AVE",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615804",
"telephone_number": "731-884-1223",
"fax_number": "731-884-3859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "BRUCE",
"middle_name": "JOHNSON",
"name_prefix": "Mr.",
"credential": "DPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "6107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.