Active NPI
Jack Coogan Ritchie Jr., RPH
- Pharmacist
- Athens, TN
National Provider Identifier
1902560113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6643
- Practice address
- Walgreens Pharmacy 9522
805 Madison Ave
Athens, TN 37303 - Phone
- (423) 507-1494
- NPI assigned
- Oct 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 6643 | TN | Primary |
Addresses
Primary practice location
Walgreens Pharmacy 9522
805 Madison Ave
Athens, TN 37303
Mailing address
Walgreens Pharmacy 9522
805 Madison Ave
Athens, TN 37303
Phone (423) 507-1494
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
805 W Madison Ave
Athens, TN 37303
Phone (423) 507-1494
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1902560113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WALGREENS PHARMACY 9522",
"address_2": "805 MADISON AVE",
"city": "ATHENS",
"state": "TN",
"postal_code": "37303",
"telephone_number": "423-507-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALGREENS PHARMACY 9522",
"address_2": "805 MADISON AVE",
"city": "ATHENS",
"state": "TN",
"postal_code": "37303",
"telephone_number": "423-507-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITCHIE",
"first_name": "JACK",
"middle_name": "COOGAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "6643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.