Individual provider Active NPI

Raymond Nash

  • Pharmacist
  • Johnson City, TN
National Provider Identifier
1851908891
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43571 Issued in TN
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
29382NCMDPharmacist
43571TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Procompounding CurrentSince Nov 9, 2021 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.

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.

Verify at the official NPI Registry.