Organization Active NPI

City Drug L.L.C

  • Pharmacy
  • Kingsport, TN
National Provider Identifier
1871610220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
4371 Issued in TN
Legal business name
CITY DRUG L.L.C
Practice address
1624 E Stone Dr
Kingsport, TN 37660-4661
Phone
(423) 245-1211
Fax
(423) 245-2111
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Younes D Cherkaoui, PHARM.D
Title
Managing Member
Phone
(423) 245-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 4371 TN Primary

Addresses

Primary practice location

1624 E Stone Dr
Kingsport, TN 37660-4661

Mailing address

1624 E Stone Dr
Kingsport, TN 37660-4661
Phone (423) 245-1211

National Provider Directory

National Provider Directory

Locations

1624 E Stone Dr
Kingsport, TN 37660
Phone (423) 245-1211

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871610220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604661",
            "telephone_number": "423-245-1211",
            "fax_number": "423-245-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604661",
            "telephone_number": "423-245-1211",
            "fax_number": "423-245-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DRUG L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERKAOUI",
        "authorized_official_first_name": "YOUNES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "423-245-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "4371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.