Active NPI
Raymond Nash
- Pharmacist
- Johnson City, TN
National Provider Identifier
1851908891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43571
- Practice address
- 527 N State of Franklin Rd
Johnson City, TN 37604-8210 - Phone
- (423) 975-0597
- NPI assigned
- Sep 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29382 | NC | |
| Pharmacist | 183500000X | 43571 | TN | Primary |
Addresses
Primary practice location
527 N State of Franklin Rd
Johnson City, TN 37604-8210
Mailing address
120 Judson Dr
Gray, TN 37615-2512
Phone (423) 791-4919
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | raymondn.rx@procompounding.com | Direct | Clinical Management Concepts, Inc. |
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 |
|---|---|---|---|
| 29382 | NC | MD | Pharmacist |
| 43571 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procompounding | Current | Accepting new patients |
Locations
527 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 926-3338
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Johnson City, TN
- NPI 1720743503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1851908891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 JUDSON DR",
"city": "GRAY",
"state": "TN",
"postal_code": "376152512",
"telephone_number": "423-791-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 N STATE OF FRANKLIN RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048210",
"telephone_number": "423-975-0597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-24",
"last_updated": "2023-11-27",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29382",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "43571",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "raymondn.rx@procompounding.com",
"affiliation": "Y",
"endpointDescription": "Work Email",
"affiliationName": "Clinical Management Concepts, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "527 N State Of Franklin Rd",
"city": "Johnson City",
"state": "TN",
"country_code": "US",
"postal_code": "376048210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.