Active NPI
Robin Michelle Henry, PHARMD
- Pharmacist
- Johnson City, TN
National Provider Identifier
1902101249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8236
- Practice address
- 121 Boone Ridge Dr
Johnson City, TN 37615-4992 - Phone
- (423) 282-0520
- Fax
- (423) 282-1949
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- 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 | 8236 | TN | Primary |
| Pharmacist | 183500000X | 12910 | NC |
Addresses
Primary practice location
121 Boone Ridge Dr
Johnson City, TN 37615-4992
Mailing address
1430 S Roan St
Johnson City, TN 37601-7332
Phone (423) 926-4861
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12910 | NC | MD | Pharmacist |
| 8236 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1902101249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 S ROAN ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376017332",
"telephone_number": "423-926-4861",
"fax_number": "423-282-1949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 BOONE RIDGE DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376154992",
"telephone_number": "423-282-0520",
"fax_number": "423-282-1949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ROBIN",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "8236",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12910",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 18, 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.